MS. Immi Song, D.D.S., M.S.
NPI #1467571554 in Albany, California
Provider Information
- NPI Number
- 1467571554
- Entity Type
- Individual
- Name
- MS. Immi Song, D.D.S., M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S., M.S.
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Jun 14, 2022
Practice Location
- Address
- 1301 SOLANO AVE STE 101
- City
- Albany
- State
- California
- ZIP Code
- 94706-1825
- Phone
- (510) 528-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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