Individual
MINKYEONG SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
410 MINERAL ST, SOUTH BOSTON, VA 24592-3716
(434) 572-4928
(434) 575-0302
Mailing address
4003 BARNACLE CT, NORTH CHESTERFIELD, VA 23234-3232
(804) 691-6178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415643
VA
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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