Organization
SONG DENTAL GROUP, INC.
Active
Other names
Song Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS SONG MD DDS (PRESIDENT)
(415) 668-8600
Entity
Organization
Contact information
Practice address
3109 GEARY BLVD, SAN FRANCISCO, CA 94118-3316
(415) 668-8600
(415) 668-8601
Mailing address
3109 GEARY BLVD, SAN FRANCISCO, CA 94118-3316
(415) 668-8600
(415) 668-8601
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
09/22/2017
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