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Organization
MICHAEL S. SONG DDS, PC
Active
Organization
MICHAEL S. SONG DDS, PC
Active
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLC
Other names
FC dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC VALLEY DENTAL CARE, PLLC
Authorized official
DR. MICHAEL S. SONG DDS (DENTIST/OWNER)
(703) 385-5455
Entity
Organization
Contact information
Practice address
3975 FAIR RIDGE DR, SUITE #301N, FAIRFAX, VA 22033-2911
(703) 385-5455
Mailing address
3975 FAIR RIDGE DR, SUITE #301N, FAIRFAX, VA 22033-2911
(703) 385-5455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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