Individual
ALBERT HONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 E ROGERS RD, LONGMONT, CO 80501-6027
(303) 776-3250
(303) 682-6419
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202675
CO
284300000X
Special Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92730051
—
CO
Enumeration date
06/23/2014
Last updated
12/20/2016
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