Individual provider · Type 1 NPI

Daisy Sungsoon Song-Cha, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Bayside, NY

NPI number 1104903145 Active

Practice location

21016 Northern Blvd Fl 2
Bayside, NY 11361-3240

Fax (718) 225-8005

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	046277-1 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104903145

Daisy Sungsoon Song-Cha, DDS's National Provider Identifier is 1104903145, issued on Nov 1, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bayside, NY. The record was last updated on Feb 7, 2011.