MEDICARE: DR. BELINDA SONG D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DE60471909	WA

General Provider Information

NPI Number	:	1780024455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELINDA SONG D.D.S.

Provider Business Mailing Address
First Line	:	100 W. HARRISON STREET
Second Line	:	SUITE #150, NORTH TOWER
City	:	SEATTLE
State	:	WA
Zip	:	98119-4116
Country	:	US
Telephone Number	:	206-284-4412
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 W. HARRISON STREET
Second Line	:	SUITE #150, NORTH TOWER
City	:	SEATTLE
State	:	WA
Zip	:	98119-4116
Country	:	US
Telephone Number	:	206-284-4412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	09/28/2018

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