Song, Jin

Song, Jin is an individual health care provider with primary practice located at 2611 S Quillan Pl Ste 110 , Kennewick WA 99338-1899. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dentist is her primary health care specialty. Song, Jin can be contacted via phone (509) 585-5437.

Contact Information

Primary practice address
2611 S Quillan Pl Ste 110 Kennewick WA 99338-1899
Phone: (509) 585-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 29005 Texas
Dental Providers / Dental Public Health 1223D0001X DE61516940 Washington
Dental Providers / Dentist 122300000X DE61516940 Washington

Profile Details

NPI number 1023456753
LBN Legal business name Song, Jin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2013
Last updated Apr 15th, 2024 - about last year

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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