Individual
DR. GEORGE JONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 E LEE ST APT 909, BALTIMORE, MD 21202-6005
(443) 690-2295
Mailing address
10 E LEE ST APT 909, BALTIMORE, MD 21202-6005
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3902000000X
MD
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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