NPI 1023255783

Joung Eun Song, DDS

Practitioner General Practice Dentistry Glenview, IL

Practice location

Address: 2640 Patriot Blvd STE 230, Glenview, IL 60026-8075
Phone: (847) 724-0980
Fax: (847) 724-0981

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019-023678 (IL)

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Registry record

NPI: 1023255783
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2009
Record last updated: 15 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.