Individual
JESSICA YOONA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 SOUTH RD STE 16, POUGHKEEPSIE, NY 12601-7211
(845) 462-2000
Mailing address
2020 SOUTH RD STE 16, POUGHKEEPSIE, NY 12601-7211
(845) 462-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063458
NY
Other
Enumeration date
04/05/2022
Last updated
09/08/2023
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