Individual
DR. CARLTON C GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3044 72ND ST, EAST ELMHURST, NY 11370-1417
(646) 827-0522
Mailing address
5913 BARBADOS PL APT 202, APT 202, ROCKVILLE, MD 20852-5412
(240) 271-3254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034857
NY
Other
Enumeration date
10/15/2007
Last updated
03/19/2011
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