NPI Provider: 1285775502
Contact Name: Gong J Sandra
Position: Chief Executive Officer
Phone: (661) 854-5558
Sandra J Gong Dds Dental Corp. Information:
Sandra J Gong Dds Dental Corp. organization have npi 1285775502, taxonomy code is 1223G0001X with license number is 29891 in . This Business address located in PO Box 172, Arvin, CA 93203 California.
Practice Location
Address: 101 Comanche Dr, Arvin, CA 93203
Phone: (661) 854-5558
Business Location
Address: PO Box 172, Arvin, CA 93203
Phone: (661) 854-5558
Fax: (661) 854-2696
Taxonomy
Taxonomy Code: 1223G0001X
License Number: 29891
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 2/9/2007
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