JONG TAE SONG

ORANGE, CA
NPI1750710257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  62753)
Enumeration Date2013-11-05
Last Update Date2013-11-05
Business Address
-- JONG TAE SONG DDS
530 S MAIN ST
ORANGE, CA 92868-4525
Phone number: 714-480-3000
Mailing Address
-- JONG TAE SONG DDS
6219 MERIDIAN AVE
SAN JOSE, CA 95120-4916
Phone number: