MYOUNGSU SONG

CHAMPAIGN, IL
NPI1154932218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019032794)
Enumeration Date2020-08-12
Last Update Date2023-01-24
Business Address
MYOUNGSU SONG
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
Mailing Address
MYOUNGSU SONG
2050 E ALGONQUIN RD STE 610
SCHAUMBURG, IL 60173-4166
Phone number: 888-988-4066
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