| NPI | 1124231659 |
|---|---|
| Former Name | THOMAS KINGSLEY DONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 37056) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA B3705601) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2012-07-02 |