DR. Everett Soonken Ong, DDS

NPI #1366503997 in Clovis, New Mexico

Provider Information

NPI Number: 1366503997
Entity Type: Individual
Name: DR. Everett Soonken Ong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 13, 2006
Last Updated: Oct 2, 2024

Practice Location

Address: 27TH SPECIAL OPERATIONS MEDICAL GROUP
Address 2: 224 W D.L.INGRAM AVE., BLDG 1408
City: Clovis
State: New Mexico
ZIP Code: 88103-5495
Phone: (575) 904-3948

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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