Individual
DR. ROY SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1820 N 75TH AVE, SUITE 112, PHOENIX, AZ 85035
(623) 334-2224
Mailing address
2417 W BENT TREE DR, PHOENIX, AZ 85085-4738
(623) 340-6518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6192
AZ
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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