| Hyunna Song Dmd, P.c. | |
|
566 Suffolk Ave Brentwood NY 11717-4210 | |
| (631) 813-2008 | |
| (631) 813-2009 |
| Full Name | Hyunna Song Dmd, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 566 Suffolk Ave, Brentwood, New York |
| Authorized Official Name and Position | Hyunna Song (ORTHODONTIST) |
| Authorized Official Contact | 6318132008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyunna Song Dmd, P.c. 1 Alderwood Ln Syosset NY 11791-4711 Ph: () - | Hyunna Song Dmd, P.c. 566 Suffolk Ave Brentwood NY 11717-4210 Ph: (631) 813-2008 |
| NPI Number | 1740543230 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740543230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 054879 (New York) | Primary |
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