Tae G Song Dds Pc

NPI 1215334420 - Dentist - 122300000X

NPI Details
NPI 1215334420
Enumeration Date 12/03/2014
Last Updated 12/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TAE G TAE
Position PRESIDENT
Phone (972) 329-7000
Fax (972) 329-7005
Practice Location
507 N GALLOWAY AVE
MESQUITE TX, 75149-3405, US
Phone (972) 329-7000
Fax (972) 329-7005
Business Location
507 N GALLOWAY AVE
MESQUITE TX, 75149-3405, US
Phone (972) 329-7000
Fax (972) 329-7005
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 28295
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According to our database, Tae G Song Dds Pc NPI is 1215334420, taxonomy code is 122300000X and license number is 28295, license state is located at Texas. Tae G Song Dds Pc physically located at 507 N Galloway Ave, Mesquite TX, 75149-3405. NPI Number 1033115704 has the healthcare provider type.

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1215334420 NPI number is provided on an as is basis without warranty of any kind. 1215334420 is maintained by the National Plan & Provider Enumeration System. The contents of Tae G Song Dds Pc are for informational purposes only.