Individual
DR. JOHN KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12510 QUEENS BLVD STE 219, KEW GARDENS, NY 11415-1506
(718) 263-5991
(718) 268-0105
Mailing address
6738 AUSTIN ST, FOREST HILLS, NY 11375-3556
(646) 483-1181
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
051193-1
NY
1223P0300X
Periodontics
22DI02274200
NJ
Other
Enumeration date
03/22/2007
Last updated
01/16/2019
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