Provider Demographics
NPI:1780024455
Name:SONG, BELINDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:
Last Name:SONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W. HARRISON STREET
Mailing Address - Street 2:SUITE #150, NORTH TOWER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-4116
Mailing Address - Country:US
Mailing Address - Phone:206-284-4412
Mailing Address - Fax:
Practice Address - Street 1:100 W. HARRISON STREET
Practice Address - Street 2:SUITE #150, NORTH TOWER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4116
Practice Address - Country:US
Practice Address - Phone:206-284-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE604719091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice