Search › California › 1223G0001X
Jonathan Song, D.D.S
NPI 1659757375 · on the registry since 2015
Practice
- Address
- 1134 N State College Blvd Ste C
Anaheim, CA 92806 - Phone
- (714) 772-2698
- Organisation at this address
- Kw Youn Dds Dental Corporation
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 3530 W Century Blvd Ste 107, Inglewood, CA
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-11
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 California