Song, Eun Sup
Song, Eun Sup is an sole proprietor health care provider with primary practice located at 2777 Foothill Blvd , La Crescenta CA 91214. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Song, Eun Sup can be contacted via phone (818) 957-7878.Contact Information
Primary practice address
2777 Foothill Blvd
La Crescenta CA 91214
Phone: (818) 957-7878
Fax: (818) 957-7978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 42003 | California |
Profile Details
| NPI number | 1053507087 |
|---|---|
| LBN Legal business name | Song, Eun Sup |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2007 |
| Last updated | Sep 24th, 2007 - about 17 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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