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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