Individual
SOO OK SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 MAIN ST, BARNSTABLE, MA 02601
(508) 771-7751
(508) 771-7753
Mailing address
344 MAIN STREET, BARNSTABLE, MA 02601
(508) 771-7751
(508) 771-7753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21414
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206822
—
MA
Enumeration date
07/02/2008
Last updated
11/05/2009
About Stedi
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