Organization
JOONHO SONG DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOONHO SONG (DENTIST)
(734) 262-0963
Entity
Organization
Contact information
Practice address
11801 FINGERBOARD RD STE 7, MONROVIA, MD 21770-9030
(301) 831-6677
Mailing address
4721 RIVER HAVEN CT APT 102, OWINGS MILLS, MD 21117-7149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14688
MD
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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