Individual
CLARA H SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11216 NE 15TH STREET, SUITE A, BELLEVUE, WA 98004
(425) 454-3221
(425) 454-3213
Mailing address
11216 NE 15TH STREET, SUITE A, BELLEVUE, WA 98004
(425) 454-3221
(425) 454-3213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012271
GA
Other
Enumeration date
03/08/2007
Last updated
03/22/2013
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