| NPI | 1184320566 |
|---|---|
| Doing Business As | SONG DENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | QIUJING SONG President 630-930-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |