Colleen Gayle Kong, RDH

NPI #1811594898 in Campbell, California

Provider Information

NPI Number: 1811594898
Entity Type: Individual
Name: Colleen Gayle Kong, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 2, 2020
Last Updated: Oct 2, 2020

Practice Location

Address: 1410 BENT DR
City: Campbell
State: California
ZIP Code: 95008-3608
Phone: (408) 412-3658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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