DR. Ji Su Song, DDS

NPI #1154161180 in Holyoke, Massachusetts

Provider Information

NPI Number: 1154161180
Entity Type: Individual
Name: DR. Ji Su Song, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 28, 2024
Last Updated: May 28, 2024

Practice Location

Address: 2285 NORTHAMPTON ST
City: Holyoke
State: Massachusetts
ZIP Code: 01040-3447
Phone: (413) 267-6448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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