KEVIN SONG

BELLEVUE, WA
NPI1538341250
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  60065174)
Additional Taxonomies122300000X Dentist
(Licence: CA  56640)
Enumeration Date2007-12-04
Last Update Date2014-03-25
Business Address
Dr. KEVIN SONG D.D.S.
1031 108TH AVE SE
BELLEVUE, WA 98004-6842
Phone number: 213-215-0815
Mailing Address
Dr. KEVIN SONG D.D.S.
1031 108TH AVE SE
BELLEVUE, WA 98004-6842
Phone number: 213-215-0815