Organization
SHAN GONG DMD MS INC
Active
Other names
Fresno TMJ and Sleep Apnea Therapy, Dental office of Dr. SHAN GONG, Complete Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAN GONG DMD, MS (PRESIDENT)
(559) 448-9000
Entity
Organization
Contact information
Practice address
8413 N MILLBROOK AVE STE 101, FRESNO, CA 93720-2195
(559) 448-9000
Mailing address
8413 N MILLBROOK AVE STE 101, FRESNO, CA 93720-2195
(559) 448-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
05/11/2026
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