Individual
KINNETH CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3444 ELLICOTT CENTER DR, STE104, ELLICOTT CITY, MD 21043-4170
(410) 461-4345
Mailing address
3444 ELLICOTT CENTER DR STE 104, ELLICOTT CITY, MD 21043-4670
(410) 461-4345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9448
MD
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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