Individual
CLORINDA BETA KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
151 CALLAN AVE, SUITE 302, SAN LEANDRO, CA 94577-4536
(510) 351-7130
Mailing address
151 CALLAN AVENUE, SUITE 302, SAN LEANDRO, CA 94577-4536
(510) 351-7130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28178
CA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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