JUSTIN SONG

WOODSTOCK, IL
NPI1598496010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.033660)
Enumeration Date2022-06-24
Last Update Date2022-06-24
Business Address
JUSTIN SONG DMD
11585 US RT 14
WOODSTOCK, IL 60098
Phone number: 815-269-4681
Mailing Address
JUSTIN SONG DMD
1175 CENTRAL PARK DR UNIT 206
CRYSTAL LAKE, IL 60014-8236
Phone number: 812-361-6107