TONY YOUNGCHANG SONG

FORT POLK, LA
NPI1053149617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  14065149-9926)
Enumeration Date2024-07-24
Last Update Date2025-09-30
Business Address
Dr. TONY YOUNGCHANG SONG DMD
7223 MISSISSIPPI AVE
FORT POLK, LA 71459
Phone number: 726-780-2175
Mailing Address
Dr. TONY YOUNGCHANG SONG DMD
7223 MISSISSIPPI AVE
FORT POLK, LA 71459
Phone number: 726-780-2175