Individual
JANE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 CENTRAL AVE, TENAFLY, NJ 07670-1741
(201) 894-8118
Mailing address
2228 RIVERVIEW AVE UNIT 228, ENGLEWOOD, NJ 07631-8719
(347) 498-3646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03051400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
04/07/2026
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