SearchWashington122300000X

Kevin Song, D.D.S

NPI 1538341250 · on the registry since 2007 · sole proprietor

Practice

Address
1031 108th Ave Se
Bellevue, WA 98004
Phone
(213) 215-0815

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
CA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-25

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 Washington