Song, Tae Jin

Song, Tae Jin is an sole proprietor health care provider with primary practice located at 103 E Ovilla Rd , Red Oak TX 75154-2490. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Song, Tae Jin can be contacted via phone (972) 672-0896.

Contact Information

Primary practice address
103 E Ovilla Rd Red Oak TX 75154-2490
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 31993 Texas

Profile Details

NPI number 1821441825
LBN Legal business name Song, Tae Jin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2016
Last updated Jul 14th, 2016 - about 8 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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