Organization
WALTER S. HONG, D.D.S., P.A.
Active
Other names
Lake Shore Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER S HONG D.D.S. (PRESIDENT)
(410) 255-8001
Entity
Organization
Contact information
Practice address
4330 MOUNTAIN RD, PASADENA, MD 21122-4520
(410) 255-8001
(410) 255-0687
Mailing address
4330 MOUNTAIN RD, PASADENA, MD 21122-4520
(410) 255-8001
(410) 255-0687
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13307
MD
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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