Organization
SEUNG YUB SONG DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEUNG YUB SONG (OWNER)
(646) 656-0362
Entity
Organization
Contact information
Practice address
495 CONNECTICUT AVE, NORWALK, CT 06854-1723
(646) 656-0362
Mailing address
36 DECATUR ST APT 2, COS COB, CT 06807-2159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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