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Organization

ANTHONY Y JONG PROFESSIONAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY JONG DDS (PRESIDENT)
(310) 325-5100
Entity
Organization

Contact information

Practice address
23000 CRENSHAW BLVD, SUITE 207, TORRANCE, CA 90505-3052
(310) 325-5100
(310) 325-5458
Mailing address
23000 CRENSHAW BLVD, SUITE 207, TORRANCE, CA 90505-3052
(310) 325-5100
(310) 325-5458

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39018
CA

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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