Individual
DR. DAISY SUNGSOON SONG-CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21016 NORTHERN BLVD FL 2, BAYSIDE, NY 11361-3240
(718) 225-0919
(718) 225-8005
Mailing address
21016 NORTHERN BLVD FL 2, BAYSIDE, NY 11361-3240
(718) 225-0919
(718) 225-8005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
046277-1
NY
Other
Enumeration date
11/01/2006
Last updated
02/07/2011
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