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1548479777
MOON J SONG
SAN JOSE, CA
NPI
1548479777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 42002)
Enumeration Date
2007-05-22
Last Update Date
2014-04-10
Business Address
-- MOON J SONG D.D.S.
2242 CAMDEN AVE SUITE 101
SAN JOSE, CA 95124-2029
Phone number: 408-718-5837
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Mailing Address
-- MOON J SONG D.D.S.
2242 CAMDEN AVE SUITE 101
SAN JOSE, CA 95124-2029
Phone number: 408-718-5837
Copy
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