Individual
DR. EUNICE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9378 FORESTWOOD LN STE A, MANASSAS, VA 20110-4742
(703) 659-1111
(703) 659-1116
Mailing address
9378 FORESTWOOD LN STE A, MANASSAS, VA 20110-4742
(703) 659-1111
(703) 659-1116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413709
VA
Other
Enumeration date
11/27/2012
Last updated
11/25/2019
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