Individual
DENNIS YONG SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-5027
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-5027
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A101736
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD423349
PA
Other
Enumeration date
03/09/2008
Last updated
02/11/2022
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