| Kevin Song, Dds, Ps | |
|
5221 Pacific Ave Tacoma WA 98408-7625 | |
| (253) 475-1521 | |
| Not Available |
| Full Name | Kevin Song, Dds, Ps |
|---|---|
| Speciality | Dentist |
| Location | 5221 Pacific Ave, Tacoma, Washington |
| Authorized Official Name and Position | Kevin Song (PRESIDENT) |
| Authorized Official Contact | 2534751521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Song, Dds, Ps 5221 Pacific Ave Tacoma WA 98408-7625 Ph: () - | Kevin Song, Dds, Ps 5221 Pacific Ave Tacoma WA 98408-7625 Ph: (253) 475-1521 |
| NPI Number | 1164761540 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164761540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60065174 (Washington) | Primary |
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