Provider Demographics
NPI:1679010581
Name:CHLOE SON
Entity Type:Organization
Organization Name:CHLOE SON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. CHLOE M SON. D.M.D, P.C
Authorized Official - Prefix:DR
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:
Authorized Official - Last Name:SON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-471-7970
Mailing Address - Street 1:401 W FERRY ST
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-1110
Mailing Address - Country:US
Mailing Address - Phone:269-471-7970
Mailing Address - Fax:
Practice Address - Street 1:200 N. CASS ST.
Practice Address - Street 2:
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49103
Practice Address - Country:US
Practice Address - Phone:269-471-7970
Practice Address - Fax:269-471-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty