Individual provider · Type 1 NPI

Tae Gon Song, DDS

General Practice Dentistry · Mesquite, TX

NPI number 1346591906 Active

About NPI 1346591906

Tae Gon Song, DDS's National Provider Identifier is 1346591906, issued on Sep 24, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mesquite, TX. The record was last updated on Sep 25, 2015.