Individual
DR. JAE YUN SONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG 38717 38TH STREET, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
BLDG 38717 38TH STREET, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20293
MA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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