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1750710257
JONG TAE SONG
ORANGE, CA
NPI
1750710257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 62753)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
-- JONG TAE SONG DDS
530 S MAIN ST
ORANGE, CA 92868-4525
Phone number: 714-480-3000
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Mailing Address
-- JONG TAE SONG DDS
6219 MERIDIAN AVE
SAN JOSE, CA 95120-4916
Phone number:
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