Organization
KEVIN SONG, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SONG DDS (PRESIDENT)
(253) 475-1521
Entity
Organization
Contact information
Practice address
5221 PACIFIC AVE, TACOMA, WA 98408-7625
(253) 475-1521
Mailing address
5221 PACIFIC AVE, TACOMA, WA 98408-7625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60065174
WA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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