institution
Jinju Song Dmd Pllc
Pediatric Dentist in Kirkland, Washington
NPI 1497248017

Jinju Song Dmd Pllc is a Pediatric Dentist based in Kirkland, WA and is specialized in Pediatric Dentistry. Jinju Song Dmd Pllc practices in Kirkland, WA. The NPI Number for Jinju Song Dmd Pllc is 1497248017 and holds a License No. DE60300517 (Washington).

The current practice location address for Jinju Song Dmd Pllc is 9707 Ne 119Th Way, Kirkland, WA and can be reached out via phone at 425-310-8338 and via fax at 425-449-5933.

Location: 9707 Ne 119Th Way, Kirkland, WA, 98034-8955
institution
Provider Profile Details
NPI Number
1497248017
Provider Name
Jinju Song Dmd Pllc
Credential
Provider Entity Type
Organization
Address
9707 Ne 119Th Way, Kirkland, WA, 98034-8955
Phone Number
425-310-8338
Fax Number
425-449-5933
Provider Enumeration Date
06/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255644316 01 INDIVIDUAL NPI
DE60300517 01 WA LICENSE
institution
Provider Business Practice Location Address Details
Address
9707 Ne 119Th Way
City
State
Zip
98034-8955
Phone Number
425-310-8338
Fax Number
425-449-5933
person
Provider Business Mailing Address Details
Address
9707 Ne 119Th Way
City
State
Zip
98034-8955
Phone Number
425-310-8338
Fax Number
425-449-5933
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DE60300517 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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