Individual
PETER ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3654 GRAVOIS AVE, SAINT LOUIS, MO 63116-4728
(617) 304-7558
Mailing address
2102 OAK LEAF CIR, MOUNT DORA, FL 32757-9679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025014259
MO
122300000X
Dentist
DS044901
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/04/2024
Last updated
02/20/2026
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