Individual
DR. EVERETT SOONKEN ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L.INGRAM AVE., BLDG 1408, CLOVIS, NM 88103-5495
(575) 904-3948
Mailing address
82 KINGPIN LOOP, CLOVIS, NM 88101-5495
(575) 562-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40869
CA
Other
Enumeration date
12/13/2006
Last updated
10/02/2024
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