Individual
DR. MYANH CONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022422
OH
1223G0001X
General Practice Dentistry
022422
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200999390
—
IN
05
—
2737355
—
OH
05
—
7100087790
—
KY
Enumeration date
09/26/2006
Last updated
07/09/2024
Update your record
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