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Organization
ELIZABETH TONG DDS CORP.
Active
Organization
ELIZABETH TONG DDS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH L TONG DDS (OWNER DENTIST)
(323) 251-0962
Entity
Organization
Contact information
Practice address
14055 PERRIS BLVD STE 105, MORENO VALLEY, CA 92553-4462
(951) 518-9998
(951) 518-9595
Mailing address
14055 PERRIS BLVD STE 105, MORENO VALLEY, CA 92553-4462
(951) 518-9998
(951) 518-9595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102887
DENTAL LICENSE
CA
Enumeration date
02/24/2025
Last updated
02/24/2025
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