DR. Jae Yun Song, DMD

NPI #1053381848 in Ft Gordon, Georgia

Provider Information

NPI Number
1053381848
Entity Type
Individual
Name
DR. Jae Yun Song, DMD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jan 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
BLDG 38717 38TH STREET
Address 2
USA DENTAC
State
Georgia
ZIP Code
30905-5660
Phone
(706) 787-6927

Specialties & Taxonomy Codes

Specialty
Dentist

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