Kevin Song, Dds, Ps | |
5221 Pacific Ave Tacoma WA 98408-7625 | |
(253) 475-1521 | |
Not Available |
Full Name | Kevin Song, Dds, Ps |
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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 |
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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 |
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Provider Enumeration Date | 02/05/2013 |
Last Update Date | 02/05/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164761540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 60065174 (Washington) | Primary |
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