Organization
KEVIN K SONG, DMD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN K SONG D.M.D (PRESIDENT)
(617) 769-0888
Entity
Organization
Contact information
Practice address
595 HANCOCK ST, QUINCY, MA 02170-1911
(617) 769-0888
(617) 479-9888
Mailing address
595 HANCOCK ST, QUINCY, MA 02170-1911
(617) 769-0888
(617) 479-9888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18858
MA
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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