Organization
SONG DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SONG DDS (ORTHODONTIST)
(626) 848-4471
Entity
Organization
Contact information
Practice address
175 NEWARK AVE UNIT 3A-1, JERSEY CITY, NJ 07302-2859
(626) 848-4471
Mailing address
401 WASHINGTON BLVD APT 2101, JERSEY CITY, NJ 07310-2227
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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