SHAN GONG

BRONX, NY
NPI1912367269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  101693)
Enumeration Date2016-02-29
Last Update Date2019-10-08
Business Address
SHAN GONG D.M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 781-920-4321
Mailing Address
SHAN GONG D.M.D.
PO BOX 10059
BAKERSFIELD, CA 93389-0059
Phone number: 661-328-0876
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