Organization
HYUNNA SONG DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYUNNA SONG (ORTHODONTIST)
(631) 813-2008
Entity
Organization
Contact information
Practice address
566 SUFFOLK AVE, BRENTWOOD, NY 11717-4210
(631) 813-2008
(631) 813-2009
Mailing address
1 ALDERWOOD LN, SYOSSET, NY 11791-4711
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054879
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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