SONNY SONG

ROCHESTER, NY
NPI1386132223
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: VA  0401417149)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-26
Last Update Date2020-11-12
Business Address
Dr. SONNY SONG
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620-2913
Phone number: 585-275-8315
Mailing Address
Dr. SONNY SONG
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620-2913
Phone number: 585-275-8315