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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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