Individual
DR. SONG YAN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1626 OLYMPIC HWY N, SHELTON, WA 98584-3060
(360) 426-4712
(360) 426-3220
Mailing address
PO BOX 1248, SHELTON, WA 98584-0949
(360) 426-4712
(360) 426-3220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010938
WA
Other
Enumeration date
08/01/2007
Last updated
02/21/2023
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