Provider Demographics
NPI:1720326002
Name:DR. EUNJOO SONG STRINGER DMD
Entity Type:Organization
Organization Name:DR. EUNJOO SONG STRINGER DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUNJOO
Authorized Official - Middle Name:SONG
Authorized Official - Last Name:STRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:301-663-5550
Mailing Address - Street 1:196 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4397
Mailing Address - Country:US
Mailing Address - Phone:301-663-5550
Mailing Address - Fax:301-631-0045
Practice Address - Street 1:196 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4397
Practice Address - Country:US
Practice Address - Phone:301-663-5550
Practice Address - Fax:301-631-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15055122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty