NPI 1659160604
Angelica Song, DMD
Practice location
- Address
- 4171 Crescent Dr STE 102, Saint Louis, MO 63129-3645
- Phone
- (314) 742-8038
- Mailing address
- 5712 Oakland Ave, Saint Louis, MO 63110-1318
Registered specialties (2)
Independent Medical Examiner Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1659160604
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 May 2025
- Record last updated
- 16 Jul 2025
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.