| Yong C Song Dds Pa | |
|
3111 Cross Timbers Rd Ste 100 Flower Mound TX 75028-2702 | |
| (972) 906-9797 | |
| (214) 350-7836 |
| Full Name | Yong C Song Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 3111 Cross Timbers Rd Ste 100, Flower Mound, Texas |
| Authorized Official Name and Position | Yong Chol Song (PRESIDENT) |
| Authorized Official Contact | 9729069797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yong C Song Dds Pa 3111 Cross Timbers Rd Ste 100 Flower Mound TX 75028-2702 Ph: (972) 906-9797 | Yong C Song Dds Pa 3111 Cross Timbers Rd Ste 100 Flower Mound TX 75028-2702 Ph: (972) 906-9797 |
| NPI Number | 1003079468 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 04/17/2017 |
| Medicare PECOS PAC ID | 4981981768 |
|---|---|
| Medicare Enrollment ID | O20170503002558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003079468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16398 (Texas) | Primary |
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