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DAE H. SONG D.D.S. INC. NPI 1417133158


NPI Information

NPI: 1417133158
Provider Name: DAE H. SONG D.D.S. INC.

Former Legal Business Name: BELGRAVE FAMILY DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6011 PACIFIC BLVD
SUITE # 120
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 584-6777
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DAE H. SONG D.D.S. INC. is a general practice dentist in Huntington Park, CA. The provider is 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. DAE H. SONG D.D.S. INC. NPI is 1417133158. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Belgrave Family Dental Group.

The provider's business location address is:

6011 PACIFIC BLVD
SUITE # 120
HUNTINGTON PARK, CA
ZIP 90255-951
Phone: (323) 584-6777

The provider's authorized official is Dae H. Song .
The authorized official title is Owner and has the following contact phone number (323) 584-6777.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 3/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice25630CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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