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Individual
SHARON KYUNGHA SONG
Active
Individual
SHARON KYUNGHA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009859
CT
1223G0001X
General Practice Dentistry
0520021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236354
—
CT
05
—
02678297
—
NY
Enumeration date
02/09/2007
Last updated
08/09/2011
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