| NPI | 1497597660 |
|---|---|
| Doing Business As | I SONG ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA WIETH Payor Relations Manager 623-627-8121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |