Individual
DR. SONG YI ROH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2 WASHINGTON AVE, IRVINGTON, NJ 07111-3550
(310) 780-5255
Mailing address
2 WASHINGTON AVE, IRVINGTON, NJ 07111-3550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02854800
NJ
Other
Enumeration date
07/28/2021
Last updated
09/22/2021
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