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Organization
WALTER S. HONG, D.D.S., P.A.
Active
Organization
WALTER S. HONG, D.D.S., P.A.
Active
Other names
Lake Shore Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER S HONG D.D.S. (PRESIDENT)
(410) 255-8001
Entity
Organization
Contact information
Practice address
4330 MOUNTAIN RD, PASADENA, MD 21122-4520
(410) 255-8001
(410) 255-0687
Mailing address
4330 MOUNTAIN RD, PASADENA, MD 21122-4520
(410) 255-8001
(410) 255-0687
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13307
MD
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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