Individual
DR. DONALD DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
174 MAIN ST, MANCHESTER, CT 06042-3534
(860) 643-7047
(860) 647-8001
Mailing address
174 MAIN ST, MANCHESTER, CT 06042-3534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8839
CT
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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