Organization
HANNAH SONG AND HELEN DO DENTAL CORPORATION
Active
Other names
My Home Dental Group - Buena Park Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNAH JIYOUNG SONG DDS (PEDIATRIC DENTIST/ C.F.O.)
(714) 994-2121
Entity
Organization
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
(714) 994-2121
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
58464
CA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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