DR. Agnes Gan Ong, D.M.D.

NPI #1700880622 in Shafter, California

Provider Information

NPI Number: 1700880622
Entity Type: Individual
Name: DR. Agnes Gan Ong, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 9, 2005
Last Updated: Jan 24, 2012

Practice Location

Address: 655 S CENTRAL VALLEY HWY
City: Shafter
State: California
ZIP Code: 93263-2790
Phone: (661) 746-9194

Specialties & Taxonomy Codes

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

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