Individual
SONG C YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4039 W. NOB HILL RD. BLVD., YAKIMA, WA 98908
(509) 823-4480
Mailing address
4039 W. NOB HILL RD. BLVD., YAKIMA, WA 98908
(509) 823-4480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009414
WA
Other
Enumeration date
05/22/2007
Last updated
09/18/2015
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