Song, Richard
Song, Richard is an individual health care provider with primary practice located at 3123 Kennedy Blvd , North Bergen NJ 07047-2378. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Song, Richard can be contacted via phone (201) 662-0662.Contact Information
Primary practice address
3123 Kennedy Blvd
North Bergen NJ 07047-2378
Phone: (201) 662-0662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 22DI02892700 | New Jersey |
Profile Details
| NPI number | 1265162515 |
|---|---|
| LBN Legal business name | Song, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2022 |
| Last updated | Jun 10th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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