Individual
DR. SANDRA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
323 W RAILROAD AVE, BARTLETT, IL 60103-4428
(630) 830-6010
Mailing address
31 HAMILTON DR, ROSLYN, NY 11576-3104
(516) 729-9953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031350
IL
122300000X
Dentist
DS039037
PA
Other
Enumeration date
04/16/2012
Last updated
09/13/2021
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