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1164761540
KEVIN SONG, DDS, PS
TACOMA, WA
NPI
1164761540
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Entity Type
Organization
Authorized Contact
KEVIN SONG
President
253-475-1521
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA 60065174)
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
KEVIN SONG, DDS, PS
5221 PACIFIC AVE
TACOMA, WA 98408-7625
Phone number: 253-475-1521
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Mailing Address
KEVIN SONG, DDS, PS
5221 PACIFIC AVE
TACOMA, WA 98408-7625
Phone number:
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