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Individual
DR. ERIC JUSTIN TONG
Active
Individual
DR. ERIC JUSTIN TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10401448-9921
UT
122300000X
Dentist
Primary
34980
TX
1223G0001X
General Practice Dentistry
34980
TX
Other
Enumeration date
08/02/2017
Last updated
05/30/2024
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