Individual
DONG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6430 GREEN BAY RD, KENOSHA, WI 53142-2948
(888) 988-4066
Mailing address
2050 E ALGONQUIN RD, SCHAUMBURG, IL 60173-4144
(888) 988-4066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032957
IL
Other
Enumeration date
08/16/2017
Last updated
06/20/2025
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