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1538341250
KEVIN SONG
BELLEVUE, WA
NPI
1538341250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA 60065174)
Additional Taxonomies
122300000X Dentist
(Licence: CA 56640)
Enumeration Date
2007-12-04
Last Update Date
2014-03-25
Business Address
Dr. KEVIN SONG D.D.S.
1031 108TH AVE SE
BELLEVUE, WA 98004-6842
Phone number: 213-215-0815
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Mailing Address
Dr. KEVIN SONG D.D.S.
1031 108TH AVE SE
BELLEVUE, WA 98004-6842
Phone number: 213-215-0815
Copy
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