Individual
HANNAH JIYOUNG SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5661 BEACH BLVD STE 100, BUENA PARK, CA 90621-1969
(714) 994-2121
Mailing address
5661 BEACH BLVD STE 100, BUENA PARK, CA 90621-1969
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
58464
CA
Other
Enumeration date
12/04/2009
Last updated
03/26/2020
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