Eunice Song, DDS, PC
Organization Active NPI Dentist · Manassas, VA
NPI 1508401753 · NPPES record last updated Nov 12, 2019
Key facts
- NPI
- 1508401753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- EUNICE SONG, DDS, PC
- Practice address
- 9378 Forestwood LN Ste a
Manassas, VA 20110-4742 - Phone
- (703) 659-1111
- NPI assigned
- Nov 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Eunice Song, DDS
- Title
- President/Dentist
- Phone
- (703) 659-1111
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
9378 Forestwood LN Ste a
Manassas, VA 20110-4742
Mailing address
9378 Forestwood LN Ste a
Manassas, VA 20110-4742
Phone (703) 659-1111
Other names
- Peony Dental
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.