Individual
DR. BRIAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6717 KINGERY HWY, WILLOWBROOK, IL 60527-5142
(630) 655-8781
(630) 566-8211
Mailing address
6717 KINGERY HWY, WILLOWBROOK, IL 60527-5142
(630) 655-8781
(630) 566-8211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031765
IL
Other
Enumeration date
06/19/2018
Last updated
05/06/2021
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