Individual
DR. DENNIS SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
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)
Primary
47664
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A96692
CA
Other
Enumeration date
02/27/2007
Last updated
05/21/2010
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