Insoo Song, DDS Valid NPI

Individual provider · Dentist · Carrollton, TX

NPI

1821583113

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

35046 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2018-06-28

Last updated

2020-08-11