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Jonathan Song, DDS
General Practice Dentistry in Anaheim, California
NPI 1659757375

Jonathan Song is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Jonathan Song practices in Anaheim, CA and has the professional credentials of DDS. The NPI Number for Jonathan Song is 1659757375 and holds a License No. 64849 (California).

The current practice location address for Jonathan Song is 1134 N State College Blvd Ste C, Anaheim, CA and can be reached out via phone at 714-772-2698.

Location: 1134 N State College Blvd Ste C, Anaheim, CA, 90015-3679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659757375
Provider Name
Jonathan Song
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1134 N State College Blvd Ste C, Anaheim, CA, 90015-3679
Phone Number
714-772-2698
Fax Number
Provider Enumeration Date
08/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1134 N State College Blvd Ste C
City
Anaheim
State
California
Zip
92806
Phone Number
714-772-2698
Fax Number
person
Provider Business Mailing Address Details
Address
1134 N State College Blvd Ste C
City
Anaheim
State
California
Zip
92806
Phone Number
714-772-2698
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
64849 (California)
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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