| NPI | 1629031927 |
|---|---|
| Other Name | DAVID JIN SONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02255100) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22551) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2011-01-31 |