Individual
BRIAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4220 W 3RD ST, LOS ANGELES, CA 90020-3450
(213) 387-5570
Mailing address
4010 OCEAN DR, MANHATTAN BEACH, CA 90266-3150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS112571
CA
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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