SearchCaliforniaOrthodontics and Dentofacial Orthopedics Dentistry

Immi Song, D.D.S., M.S

NPI 1467571554 · on the registry since 2007 · sole proprietor

Practice

Address
1301 Solano Ave Ste 101
Albany, CA 94706
Phone
(510) 528-2220
Fax
(510) 528-2280
Organisation at this address
Bpu, Inc
Christopher W. Leyster, Dds, A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-14

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 California