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Organization
R GONG DDS INC
Active
Organization
R GONG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONG GONG DDS (DENTIST)
(858) 201-3577
Entity
Organization
Contact information
Practice address
9330 CARMEL MOUNTAIN RD STE A1, SAN DIEGO, CA 92129-2190
(858) 201-3577
Mailing address
9330 CARMEL MOUNTAIN RD STE A1, SAN DIEGO, CA 92129-2190
(858) 201-3577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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