Myoungsu Song

NPI #1154932218 in Champaign, Illinois

Provider Information

NPI Number
1154932218
Entity Type
Individual
Name
Myoungsu Song
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 12, 2020
Last Updated
Jan 24, 2023

Practice Location

Address
819 BLOOMINGTON RD
ZIP Code
61820-2101
Phone
(217) 356-1558

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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