ISSE SONG
Dentist at John Young Pkwy, Orlando, FL

License number
Florida DN11703
Category
Dentist
Type
General Practice
Address
Address
12554 S John Young Pkwy, Orlando, FL 32837
Phone
(407) 888-1088
(407) 888-1089 (Fax)
National Provider ID: 1003238650
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ISSE SONG at bizstanding.com

ISSE SONG, PA

12554 S John Young Pkwy #104, Orlando, FL 32837

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Dec 27, 1988
Inactive since:
Apr 25, 2002
State ID:
K54000
Business type:
Florida Profit Corporation
President:
Isse Song (President), 12554 S John Young Pkwy #104, Orlando, FL 32837 (Physical)
EIN:
65-0091740

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