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Seoyoun Song
General Practice Dentistry in La Mirada, California
NPI 1609451855

Seoyoun Song is a General Practice Dentistry based in Inglewood, CA and is specialized in General Practice. Seoyoun Song practices in La Mirada, CA. The NPI Number for Seoyoun Song is 1609451855 and holds a License No. 39095 (California).

The current practice location address for Seoyoun Song is 15769 Imperial Hwy, La Mirada, CA and can be reached out via phone at 562-217-4369.

Location: 15769 Imperial Hwy, La Mirada, CA, 90301-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609451855
Provider Name
Seoyoun Song
Credential
Provider Entity Type
Individual
Gender
Female
Address
15769 Imperial Hwy, La Mirada, CA, 90301-4146
Phone Number
562-217-4369
Fax Number
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15769 Imperial Hwy
City
La Mirada
State
California
Zip
90638-2510
Phone Number
562-217-4369
Fax Number
person
Provider Business Mailing Address Details
Address
15769 Imperial Hwy
City
La Mirada
State
California
Zip
90638-2510
Phone Number
562-217-4369
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
39095 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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