Individual
A RAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
200 GIRARD ST STE 212B, GAITHERSBURG, MD 20877-3490
(301) 840-8339
Mailing address
10742 ENFIELD DR, WOODSTOCK, MD 21163-1416
(443) 980-6521
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7680
MD
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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