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1003238650
ISSE SONG
ORLANDO, FL
NPI
1003238650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN11703)
Enumeration Date
2014-01-16
Last Update Date
2014-01-16
Business Address
-- ISSE SONG
12554 S JOHN YOUNG PKWY SUITE104
ORLANDO, FL 32837-4004
Phone number: 407-888-1088
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Mailing Address
-- ISSE SONG
12554 S JOHN YOUNG PKWY SUITE104
ORLANDO, FL 32837-4004
Phone number: 407-888-1088
Copy
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