Individual
DR. ALICIA JIE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
674 BOULEVARD DE FRANCE, PARRIS ISLAND, SC 29905
(484) 786-3776
Mailing address
1718 OSPREY DR, AUDUBON, PA 19403-1863
(484) 786-3776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044735
PA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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