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SANDRA J GONG DDS DENTAL CORP. NPI 1285775502


NPI Information

NPI: 1285775502
Provider Name: SANDRA J GONG DDS DENTAL CORP.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
101 COMANCHE DR
ARVIN, CA
ZIP 93203
Phone: (661) 854-5558
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SANDRA J GONG DDS DENTAL CORP. is a general practice dentist in Arvin, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SANDRA J GONG DDS DENTAL CORP. NPI is 1285775502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 COMANCHE DR
ARVIN, CA
ZIP 93203-172
Phone: (661) 854-5558
Fax: (661) 854-2696

The provider's authorized official is Sandra J Gong .
The authorized official title is Chief Executive Officer and has the following contact phone number (661) 854-5558.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 10/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice29891CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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