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Individual
LIANSHENG SONG
Active
Individual
LIANSHENG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
010234
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
010234
CT
Other
Enumeration date
11/29/2006
Last updated
03/07/2013
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