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Organization
WALTER RONG DDS, A PROFESSIONAL CORPORATION
Active
Organization
WALTER RONG DDS, A PROFESSIONAL CORPORATION
Active
Other names
Walter Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER RONG DDS (DENTIST)
(626) 339-7012
Entity
Organization
Contact information
Practice address
236 W BADILLO ST, COVINA, CA 91723-1906
(626) 339-7012
Mailing address
236 W BADILLO ST, COVINA, CA 91723-1906
(626) 339-7012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
305R00000X
Preferred Provider Organization
Primary
50094
CA
Other
Enumeration date
02/12/2013
Last updated
11/01/2021
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