LORAN EDWARD ONG

NORTH BEND, OR
NPI1033718978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D11702)
Additional Taxonomies122300000X Dentist
(Licence: AK  165769)
Enumeration Date2020-10-21
Last Update Date2022-09-28
Business Address
LORAN EDWARD ONG DDS
2070 VIRGINIA AVE
NORTH BEND, OR 97459-2351
Phone number: 541-756-0155
Mailing Address
LORAN EDWARD ONG DDS
2274 FOREST HILLS DR
COOS BAY, OR 97420
Phone number: 909-913-7895