Individual
DR. KEVIN SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1110 TOWN CENTER BLVD STE H, ODENTON, MD 21113-1232
(410) 874-2222
Mailing address
5931 MEADOW ROSE, ELKRIDGE, MD 21075-5963
(240) 422-3724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17519
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2020
Last updated
08/08/2021
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