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1659757375
JONATHAN SONG
ANAHEIM, CA
NPI
1659757375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 64849)
Enumeration Date
2015-08-04
Last Update Date
2018-09-11
Business Address
JONATHAN SONG D.D.S.
1134 N STATE COLLEGE BLVD STE C
ANAHEIM, CA 92806
Phone number: 714-772-2698
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Mailing Address
JONATHAN SONG D.D.S.
936 S OLIVE ST APT 734
LOS ANGELES, CA 90015-3679
Phone number: 262-719-6842
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