| In Hee Song Dmd, Md, Inc | |
|
1004 Fowler Way Ste 9 Placerville CA 95667-5746 | |
| (530) 328-0360 | |
| (530) 328-0365 |
| Full Name | In Hee Song Dmd, Md, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1004 Fowler Way Ste 9, Placerville, California |
| Authorized Official Name and Position | In Hee Song (CEO) |
| Authorized Official Contact | 5303280360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In Hee Song Dmd, Md, Inc 1004 Fowler Way Ste 9 Placerville CA 95667-5746 Ph: (530) 328-0360 | In Hee Song Dmd, Md, Inc 1004 Fowler Way Ste 9 Placerville CA 95667-5746 Ph: (530) 328-0360 |
| NPI Number | 1144092479 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144092479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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