Individual
DR. JOHN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2730 WILSHIRE BLVD, SUITE 460, SANTA MONICA, CA 90403-4831
(323) 206-6535
(310) 998-1907
Mailing address
2730 WILSHIRE BLVD, SUITE 460, SANTA MONICA, CA 90403-4831
(323) 206-6535
(310) 998-1907
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
48770
CA
Other
Enumeration date
03/26/2007
Last updated
01/05/2015
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