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Search › Illinois › General Practice Dentistry

Myoungsu Song

NPI 1154932218 · on the registry since 2020 · sole proprietor

Practice

Address
819 Bloomington Rd
Champaign, IL 61820
Phone
(217) 356-1558
Organisation at this address
Promise Healthcare
Promise Healthcare Nfp
Promise Healthcare Nfp
Promise Healthcare Nfp
Promise Healthcare Nfp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois