Individual
DR. MINSUN JAMES SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1921 W DIMOND BLVD STE 101, ANCHORAGE, AK 99515-1465
(907) 333-6666
Mailing address
403 W 22ND AVE, ANCHORAGE, AK 99503-1958
(909) 328-9056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
165780
AK
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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