DR. Amina Yixuan Gong, D.D.S.

NPI #1447631486 in Stamford, Connecticut

Provider Information

NPI Number: 1447631486
Entity Type: Individual
Name: DR. Amina Yixuan Gong, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 16, 2015
Last Updated: Jun 9, 2020

Practice Location

Address: 579 NEWFIELD AVE
City: Stamford
State: Connecticut
ZIP Code: 06905-3302
Phone: (203) 890-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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