Isse Song

NPI #1003238650 in Orlando, Florida

Provider Information

NPI Number
1003238650
Entity Type
Individual
Name
Isse Song
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 16, 2014
Last Updated
Jan 16, 2014

Practice Location

Address
12554 S JOHN YOUNG PKWY
Address 2
SUITE104
State
Florida
ZIP Code
32837-4004
Phone
(407) 888-1088

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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