Organization
SH DENTAL PLLC
Active
Other names
Matlock Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNG SONG DDS (OWNER)
(714) 309-2320
Entity
Organization
Contact information
Practice address
740 SW GREEN OAKS BLVD STE 201, ARLINGTON, TX 76017-6257
(714) 309-2320
Mailing address
2433 HUNTERS BLVD, LEWISVILLE, TX 75056-4749
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
29544
TX
Other
Enumeration date
12/26/2017
Last updated
02/08/2018
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