Sandra J Gong DDS Dental Corp.
NPI #1285775502 in Arvin, California
Provider Information
- NPI Number
- 1285775502
- Entity Type
- Organization
- Organization Name
- Sandra J Gong DDS Dental Corp.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Oct 3, 2014
Practice Location
- Address
- 101 COMANCHE DR
- City
- Arvin
- State
- California
- ZIP Code
- 93203-0172
- Phone
- (661) 854-5558
Authorized Official
- Name
- DR. SANDRA J GONG, DDS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (661) 854-5558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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