Individual
DR. SUN YOUNG SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15165 NE 24TH ST, REDMOND, WA 98052-5544
(425) 562-2919
Mailing address
25033 SE 42ND ST, ISSAQUAH, WA 98029-5791
(310) 560-1166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60790097
WA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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