Song Dental Pllc | |
1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 | |
(202) 445-8050 | |
Not Available |
Full Name | Song Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1628 W Hebron Pkwy Ste 108, Carrollton, Texas |
Authorized Official Name and Position | Insoo Song (OWNER) |
Authorized Official Contact | 2024458050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Song Dental Pllc 1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 Ph: (202) 445-8050 | Song Dental Pllc 1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 Ph: (202) 445-8050 |
NPI Number | 1144937913 |
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Provider Enumeration Date | 11/01/2022 |
Last Update Date | 11/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144937913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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