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Individual
SAMUEL MYEONGSUP SONG
Active
Individual
SAMUEL MYEONGSUP SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
113444
CA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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