Isse Song PA

NPI #1366871394 in Orlando Florida, Florida

Provider Information

NPI Number
1366871394
Entity Type
Organization
Organization Name
Isse Song PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 12, 2013
Last Updated
Nov 12, 2013

Practice Location

Address
12554 S JOHN YOUNG PARKWAY
Address 2
104
State
Florida
ZIP Code
32837
Phone
(407) 888-1088

Authorized Official

Name
DR. ISSE SONG
Title
DENTIST
Phone
(407) 888-1088

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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