Song Dental Corporation
Clinic/Center, Dental in San Marino, CA. Organization (NPI-2).
NPI number1982188934
StatusActive
Last updated in NPPESSep 16, 2018
Details
- NPI
- 1982188934
- Entity type
- Organization (NPI-2)
- Legal business name
- Song Dental Corporation
- Organization subpart
- No
- Enumeration date
- Sep 16, 2018
- Last updated
- Sep 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
2920 Huntington Dr Ste 238San Marino, CA 91108-2254
Phone 626-286-9211
Mailing address
936 S Olive St Apt 734Los Angeles, CA 90015-3679
Phone 262-719-6842
Authorized official
Jonathan T Song
President
2627196842
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dental Clinic/Center providers in San Marino, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.