Individual provider · Type 1 NPI
Immi Song, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Albany, CA
Practice location
1301 Solano Ave Ste 101
Albany, CA 94706-1825
Fax (510) 528-2280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 40732 (CA) |
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…
2 other providers at this address
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- Yu-Ching Lai, DDSOrthodontics and Dentofacial Orthopedics Dentistry Albany, CA NPI 1861771909
About NPI 1467571554
Immi Song, DDS, M.S.'s National Provider Identifier is 1467571554, issued on Mar 28, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Albany, CA. The record was last updated on Jun 14, 2022.