Individual
DR. GRACE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3708 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4419
(253) 215-1107
Mailing address
3918 S KENYON ST UNIT C, SEATTLE, WA 98118-4065
(240) 401-8383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61434179
WA
Other
Enumeration date
06/28/2023
Last updated
08/15/2023
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