Individual provider · Type 1 NPI
Jonathan Song, DDS
General Practice Dentistry · Anaheim, CA
NPI number
1659757375
Active
Practice location
1134 N State College Blvd Ste C
Anaheim, CA 92806
Mailing address
936 S Olive St Apt 734
Los Angeles, CA 90015-3679
Other practice locations
- 3530 W Century Blvd Ste 107, Inglewood, CA 90303-1234 · (262) 719-6842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 64849 (CA) |
General Practice Dentistry: 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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- Chia-Lun Tsao, D.D.SGeneral Practice Dentistry Anaheim, CA NPI 1013173871
- Rosetta J. Vergel de Dios, DMDGeneral Practice Dentistry Anaheim, CA NPI 1023162195
- Jun Cheong, DDSGeneral Practice Dentistry Anaheim, CA NPI 1023314259
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About NPI 1659757375
Jonathan Song, DDS's National Provider Identifier is 1659757375, issued on Aug 4, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Anaheim, CA. The record was last updated on Sep 11, 2018.