| NPI | 1174256267 |
|---|---|
| Other Name | KAREN H SONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013817A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013817A) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |