Individual
KIM NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
266 HOGAN BLVD, UNIT 6, MILL HALL, PA 17751-1928
(570) 748-6450
Mailing address
1571 SPECHT PL, LANSDALE, PA 19446-4419
(215) 588-6315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040042
PA
Other
Enumeration date
07/02/2014
Last updated
09/09/2016
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