person
Dr. Samuel Song, DMD
Student in an Organized Health Care Education/Training Program in Denver, Colorado
NPI 1487117529

Samuel Song is a Student in an Organized Health Care Education/Training Program based in Denver, CO. Samuel Song practices in Denver, CO and has the professional credentials of DMD. The NPI Number for Samuel Song is 1487117529 and holds a License No. DN24730 (Colorado).

The current practice location address for Samuel Song is 777 Bannock St, Denver, CO and can be reached out via phone at 303-602-8241.

Location: 777 Bannock St, Denver, CO, 80204-4507
person
Provider Profile Details
NPI Number
1487117529
Provider Name
Samuel Song
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
777 Bannock St, Denver, CO, 80204-4507
Phone Number
303-602-8241
Fax Number
Provider Enumeration Date
04/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Bannock St
City
State
Zip
80204-4507
Phone Number
303-602-8241
Fax Number
person
Provider Business Mailing Address Details
Address
777 Bannock St
City
State
Zip
80204-4507
Phone Number
303-602-8241
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
DN24730 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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