Individual
DR. DIANE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
100 PARK PLAZA DR APT 1615, SECAUCUS, NJ 07094-3644
(302) 383-9365
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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