EUN SUP SONG

LA CRESCENTA, CA
NPI1053507087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  42003)
Enumeration Date2007-09-24
Last Update Date2007-09-24
Business Address
Dr. EUN SUP SONG DDS
2777 FOOTHILL BLVD
LA CRESCENTA, CA 91214
Phone number: 818-957-7878
Mailing Address
Dr. EUN SUP SONG DDS
2777 FOOTHILL BLVD
LA CRESCENTA, CA 91214
Phone number: 818-957-7878