Song, Ellie
Song, Ellie is an individual health care provider with primary practice located at 13030 Military Rd S Ste 210 , Tukwila WA 98168-3080. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Song, Ellie can be contacted via phone (206) 839-3600.Contact Information
Primary practice address
13030 Military Rd S Ste 210
Tukwila WA 98168-3080
Phone: (206) 839-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE60801039 | Washington |
Profile Details
| NPI number | 1184971160 |
|---|---|
| LBN Legal business name | Song, Ellie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2012 |
| Last updated | May 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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