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Individual

KRISTY HONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2921 LACKLAND RD STE 201, FORT WORTH, TX 76116-4173
(817) 732-2821
Mailing address
2921 LACKLAND RD STE 201, FORT WORTH, TX 76116-4173
(817) 732-2821

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30068
TX
1223P0221X
Pediatric Dentistry
Primary
30068
TX

Other

Enumeration date
07/03/2014
Last updated
10/01/2020
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