Organization
DR. ISSE SONG DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSE SONG D.M.D (D.M.D., PH. D.,FAGD/ DOCTOR)
(407) 888-1088
Entity
Organization
Contact information
Practice address
12554 S JOHN YOUNG PKWY, #104, ORLANDO, FL 32837-4004
(407) 888-1088
(407) 888-1889
Mailing address
12554 S JOHN YOUNG PKWY, #104, ORLANDO, FL 32837-4004
(407) 888-1088
(407) 888-1889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11703
FL
Other
Enumeration date
06/02/2006
Last updated
08/22/2020
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