Individual
DR. JEAN GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
214 ST PAUL STREET, WESTFIELD, NJ 07090-2146
(908) 232-2203
(908) 232-7721
Mailing address
214 ST PAUL STREET, WESTFIELD, NJ 07090-2146
(908) 232-2203
(908) 232-7721
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02287600
NJ
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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