Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOON J SONG, D.D.S.
Active Sole ProprietorMOON J SONG, D.D.S. is a General Dentistry healthcare provider located in SAN JOSE, California. NPI 1548479777 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SAN JOSE, CA
Registration Details
- NPI Number
- 1548479777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2007 (19.044476154893 yrs)
- Last Updated
- Apr 10, 2014
- License
-
42002 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2242 CAMDEN AVESUITE 101SAN JOSE, CA, 951242029Browse CA providers · Browse ZIP 95124
- Phone
- 4087185837
- Fax
- 4083660602
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| PAMELA NOMURA | DDS | 1134122815 |
| DR. JOHN STEPHEN CUPPLES | DDS | 1275536187 |
| DR. DOUGLAS W VIERRA | D.D.S. | 1154326270 |
| DR. LANCHI PHAM | D.D.S | 1083610067 |
| DR. STEPHANIE B LOLLER | DDS | 1316943954 |
| JIMMY CHAM | DDS | 1164429916 |
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.