Individual
HA NA SONG
Active
Individual
HA NA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414062
VA
122300000X
Dentist
D010620
AZ
122300000X
Dentist
DE60223134
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414062
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D010620
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60223134
WA
Other
Enumeration date
04/08/2020
Last updated
06/04/2021
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