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Dr. Qiujing Song, DMD
General Practice Dentistry in Lisle, Illinois
NPI 1265883292

Qiujing Song is a General Practice Dentistry based in Lisle, IL and is specialized in General Practice. Qiujing Song practices in Lisle, IL and has the professional credentials of DMD. The NPI Number for Qiujing Song is 1265883292 and holds a License No. 019030694 (Illinois).

The current practice location address for Qiujing Song is 6070 State Route 53, Lisle, IL and can be reached out via phone at 630-963-4306 and via fax at 630-963-9344. You can also correspond with Qiujing Song through the mailing address at 6070 STATE ROUTE 53, LISLE, IL - 60532-3395 (mailing address contact number: 630-963-4306).

Location: 6070 State Route 53, Lisle, IL, 60532-3395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265883292
Provider Name
Qiujing Song
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
6070 State Route 53, Lisle, IL, 60532-3395
Phone Number
630-963-4306
Fax Number
630-963-9344
Provider Enumeration Date
06/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6070 State Route 53
City
Lisle
State
Illinois
Zip
60532-3395
Phone Number
630-963-4306
Fax Number
630-963-9344
person
Provider Business Mailing Address Details
Address
6070 State Route 53
City
Lisle
State
Illinois
Zip
60532-3395
Phone Number
630-963-4306
Fax Number
630-963-9344
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019030694 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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