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Individual
DR. SONG YANG
Active
Individual
DR. SONG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
28603
TX
1223G0001X
General Practice Dentistry
Primary
DN1856141
MA
Other
Enumeration date
12/13/2012
Last updated
02/17/2015
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