SearchTexasPeriodontics

Song Rhim, D.M.D

NPI 1336369750 · on the registry since 2007 · sole proprietor

Practice

Address
2133 Pepperrell St
Jbsa Lackland, TX 78236
Phone
(210) 292-2558
Clinicians at this address
28

Additional practice sites

  • 151 Bodin Cir, Travis Afb, CA
  • 374th Medical Group, Apo, AP

Registry record

Primary taxonomy
Periodontics
1223P0300X
Also registered as
Periodontics
Periodontics
Periodontics
Licence states on file
CA, MD, GU
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas