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1104903145
DAISY SUNGSOON SONG-CHA
BAYSIDE, NY
NPI
1104903145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY 046277-1)
Enumeration Date
2006-11-01
Last Update Date
2011-02-07
Business Address
Dr. DAISY SUNGSOON SONG-CHA DDS
21016 NORTHERN BLVD FL 2
BAYSIDE, NY 11361-3240
Phone number: 718-225-0919
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Mailing Address
Dr. DAISY SUNGSOON SONG-CHA DDS
21016 NORTHERN BLVD FL 2
BAYSIDE, NY 11361-3240
Phone number: 718-225-0919
Copy
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