JINJU SONG DMD PLLC NPI 1497248017

NPI Information

JINJU SONG DMD PLLC is a pediatric dentistry dentist in Kirkland, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JINJU SONG DMD PLLC NPI is 1497248017. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Juanita Kids Dentistry.

The provider's business location address is:

9707 NE 119TH WAY
KIRKLAND, WA
ZIP 98034-955
Phone: (425) 310-8338
Fax: (425) 449-5933

The provider's authorized official is Jinju Song .
The authorized official title is Owner/doctor and has the following contact phone number (425) 310-8338.

The enumeration date for this NPI number is 6/8/2018 and was last updated on 6/8/2018.

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:

Other Identifiers

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