| Seung Yub Song Dds Llc | |
|
495 Connecticut Ave Norwalk CT 06854-1723 | |
| (646) 656-0362 | |
| Not Available |
| Full Name | Seung Yub Song Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 495 Connecticut Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Seung Yub Song (OWNER) |
| Authorized Official Contact | 6466560362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seung Yub Song Dds Llc 36 Decatur St Apt 2 Cos Cob CT 06807-2159 Ph: () - | Seung Yub Song Dds Llc 495 Connecticut Ave Norwalk CT 06854-1723 Ph: (646) 656-0362 |
| NPI Number | 1912624842 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912624842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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