B.brenda Gong, Dds.,pa

NPI #1861934895 in Angier, North Carolina

Provider Information

NPI Number: 1861934895
Entity Type: Organization
Organization Name: B.brenda Gong, Dds.,pa
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 8, 2016
Last Updated: Nov 8, 2016

Practice Location

Address: 86 E DEPOT ST
City: Angier
State: North Carolina
ZIP Code: 27501-6083
Phone: (919) 639-3911

Authorized Official

Name: BOKSOON BRENDA GONG
Title: PRESIDENT
Phone: (919) 830-1373

Specialties & Taxonomy Codes

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

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