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1053149617
TONY YOUNGCHANG SONG
FORT CARSON, CO
NPI
1053149617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 14065149-9926)
Enumeration Date
2024-07-24
Last Update Date
2024-07-25
Business Address
Dr. TONY YOUNGCHANG SONG DMD
1650 COCHRANE CIR # B7500
FORT CARSON, CO 80913-4613
Phone number: 719-526-7000
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Mailing Address
Dr. TONY YOUNGCHANG SONG DMD
1650 COCHRANE CIR # B7500
FORT CARSON, CO 80913-4613
Phone number: 719-526-7000
Copy
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