JAEMIN SONG

NEW YORK, NY
NPI1497376560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NY  062257)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
1223G0001X Dentist General Practice
(Licence: MA  DN1858981)
Enumeration Date2020-04-30
Last Update Date2023-09-06
Business Address
JAEMIN SONG
145 CANAL ST FL 2
NEW YORK, NY 10002-5033
Phone number: 917-388-3678
Mailing Address
JAEMIN SONG
2935 JOHN F KENNEDY BLVD APT 610
JERSEY CITY, NJ 07306-3881
Phone number: