Brian Tong Dental Corp
NPI #1962254193 in Lake Forest, California
Provider Information
- NPI Number
- 1962254193
- Entity Type
- Organization
- Organization Name
- Brian Tong Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 2, 2024
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 23361 EL TORO RD STE 105
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-4810
- Phone
- (949) 328-9531
Authorized Official
- Name
- BRIAN TONG, DDS
- Title
- CEO
- Phone
- (714) 657-5595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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