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Dr. Benjamin W Song, DMD
Student in an Organized Health Care Education/Training Program in Apopka, Florida
NPI 1790067460

Benjamin W Song is a Student in an Organized Health Care Education/Training Program based in Apopka, FL. Benjamin W Song practices in Apopka, FL and has the professional credentials of DMD. The NPI Number for Benjamin W Song is 1790067460 and holds a License No. DN 21794 (Florida).

The current practice location address for Benjamin W Song is 2053 Palm Vista Drive, Apopka, FL and can be reached out via phone at 386-235-6683.

Location: 2053 Palm Vista Drive, Apopka, FL, 32712-2454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790067460
Provider Name
Benjamin W Song
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2053 Palm Vista Drive, Apopka, FL, 32712-2454
Phone Number
386-235-6683
Fax Number
Provider Enumeration Date
09/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2053 Palm Vista Drive
City
Apopka
State
Florida
Zip
32712
Phone Number
386-235-6683
Fax Number
person
Provider Business Mailing Address Details
Address
2053 Palm Vista Drive
City
Apopka
State
Florida
Zip
32712
Phone Number
386-235-6683
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN 21794 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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