Individual
DR. ZHENGSHI SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1215 S 11TH ST, TACOMA, WA 98405-4020
(532) 809-8402
(253) 272-1952
Mailing address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(757) 953-2711
(757) 953-0846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00009411
WA
1223G0001X
General Practice Dentistry
DE00009411
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00009411
WA
Other
Enumeration date
01/30/2006
Last updated
02/21/2025
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