Individual
DR. JANE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
405 LEXINGTON AVE, SUITE 6900, NEW YORK, NY 10174-0002
(206) 335-8594
Mailing address
405 LEXINGTON AVE, SUITE 6900, NEW YORK, NY 10174
(206) 335-8594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057596
NY
Other
Enumeration date
09/04/2014
Last updated
10/29/2014
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