DR. Yan Ming Gong, DDS

NPI #1073269387 in Fayetteville, Arkansas

Provider Information

NPI Number: 1073269387
Entity Type: Individual
Name: DR. Yan Ming Gong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 24, 2022
Last Updated: Feb 24, 2022

Practice Location

Address: 1100 N COLLEGE AVE
City: Fayetteville
State: Arkansas
ZIP Code: 72703-1944
Phone: (479) 443-4301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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