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1912367269
SHAN GONG
FRESNO, CA
NPI
1912367269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 101693)
Enumeration Date
2016-02-29
Last Update Date
2024-08-21
Business Address
SHAN GONG D.M.D.
8413 N MILLBROOK AVE STE 101
FRESNO, CA 93720-2195
Phone number: 559-448-9000
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Mailing Address
SHAN GONG D.M.D.
8413 N MILLBROOK AVE STE 101
FRESNO, CA 93720-2195
Phone number: 559-448-9000
Copy
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