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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EUN SUP SONG, DDS

Active Sole Proprietor

DR. EUN SUP SONG, DDS is a General Dentistry healthcare provider located in LA CRESCENTA, California. NPI 1053507087 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LA CRESCENTA, CA

Registration Details

NPI Number
1053507087
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2007 (18.851685836535 yrs)
Last Updated
Sep 24, 2007
License
42003 (CA)
Sole Proprietor
Yes

Practice Information

Address
2777 FOOTHILL BLVD
LA CRESCENTA, CA, 91214
Browse CA providers · Browse ZIP 91214
Phone
8189577878
Fax
8189577978
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in LA CRESCENTA, CA

Name Credential NPI
DR. DAVID P GARRETT D.D.S. 1518038801
DR. VAHAG MEHRABIAN D.D.S. 1255487617
DR. JAMES M KANDA DDS 1003945981
NINA SONIN DDS 1710198130
DR. IRISH JEAN LIM CAGATAO D.D.S. 1396052692
DR. MIYOUNG YOON DDS 1902165202
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.