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Organization
JADE T. ONG DDS. INC.
Active
Organization
JADE T. ONG DDS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JADE TING ONG DDS (OWNER)
(818) 908-1175
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST, SUITE 404, VAN NUYS, CA 91405-3605
(818) 908-1175
(818) 582-2556
Mailing address
15243 VANOWEN ST, SUITE 404, VAN NUYS, CA 91405
(818) 908-1175
(818) 582-2556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43221
CA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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