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Dr. Sejin Shane Song, DDS
General Practice Dentistry in Paynesville, Minnesota
NPI 1740511310

Sejin Shane Song is a General Practice Dentistry based in Paynesville, MN and is specialized in General Practice. Sejin Shane Song practices in Paynesville, MN and has the professional credentials of DDS. The NPI Number for Sejin Shane Song is 1740511310 and holds a License No. D13182 (Minnesota).

The current practice location address for Sejin Shane Song is 107 Washburne Ave, Paynesville, MN and can be reached out via phone at 320-243-2175 and via fax at 320-243-8158.

Location: 107 Washburne Ave, Paynesville, MN, 56362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740511310
Provider Name
Sejin Shane Song
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
107 Washburne Ave, Paynesville, MN, 56362
Phone Number
320-243-2175
Fax Number
320-243-8158
Provider Enumeration Date
01/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
107 Washburne Ave
City
Paynesville
State
Minnesota
Zip
56362-1640
Phone Number
320-243-2175
Fax Number
320-243-8158
person
Provider Business Mailing Address Details
Address
107 Washburne Ave
City
Paynesville
State
Minnesota
Zip
56362-1640
Phone Number
320-243-2175
Fax Number
320-243-8158
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D13182 (Minnesota)
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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