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Organization

MICHAEL S. SONG DDS, PC

Active
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLC
Other names
FC dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
POTOMAC VALLEY DENTAL CARE, PLLC
Authorized official
DR. MICHAEL S. SONG DDS (DENTIST/OWNER)
(703) 385-5455
Entity
Organization

Contact information

Practice address
3975 FAIR RIDGE DR, SUITE #301N, FAIRFAX, VA 22033-2911
(703) 385-5455
Mailing address
3975 FAIR RIDGE DR, SUITE #301N, FAIRFAX, VA 22033-2911
(703) 385-5455

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/12/2015
Last updated
11/12/2015
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