Daniel Song

NPI #1821570722 in Woodbridge, Virginia

Provider Information

NPI Number: 1821570722
Entity Type: Individual
Name: Daniel Song
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Sep 6, 2018
Last Updated: Sep 6, 2018

Practice Location

Address: 14465 POTOMAC MILLS RD
City: Woodbridge
State: Virginia
ZIP Code: 22192-6807
Phone: (703) 494-6184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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