Individual
DR. WILLIAM SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2407 SE 190TH AVE, VANCOUVER, WA 98683-9798
(425) 495-3434
Mailing address
2407 SE 190TH AVE, VANCOUVER, WA 98683-9798
(425) 495-3434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D11548
OR
122300000X
Dentist
Primary
DE61229763
WA
Other
Enumeration date
10/15/2021
Last updated
11/09/2021
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