Individual
DR. JIN WOOK SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
35761 SAYRE RD, CARTHAGE, NY 13619-8522
(315) 493-6003
(315) 493-6828
Mailing address
PO BOX 716, CARTHAGE, NY 13619-0716
(315) 493-6003
(315) 376-3268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048707-1
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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