Provider Demographics
NPI:1235437039
Name:DAVID SON, DDS
Entity Type:Organization
Organization Name:DAVID SON, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-552-0941
Mailing Address - Street 1:13925 YALE AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2668
Mailing Address - Country:US
Mailing Address - Phone:949-552-0941
Mailing Address - Fax:949-552-1205
Practice Address - Street 1:13925 YALE AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-2668
Practice Address - Country:US
Practice Address - Phone:949-552-0941
Practice Address - Fax:949-552-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40313261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental