Individual
DR. YAN MING GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
1010 S BALLPARK DR APT 103, FAYETTEVILLE, AR 72701-0024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4558
AR
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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