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Individual

DR. EDWARD HANUK SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
7500 GREEN BAY RD STE 200, KENOSHA, WI 53142-4045
(262) 842-7022
Mailing address
7500 GREEN BAY RD STE 200, KENOSHA, WI 53142-4045
(262) 842-7022

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1002174-15
WI

Other

Enumeration date
08/04/2011
Last updated
10/07/2025
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