Individual
KONG PENG LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
89 N MITCHELL AVE, BAKERSVILLE, NC 28705-6502
(828) 537-5991
(732) 393-8492
Mailing address
86 N MITCHELL AVE, BAKERSVILLE, NC 28705-6502
(828) 688-2104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14276
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/08/2023
Last updated
07/09/2025
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