| H Sam Tong Dds Phd Inc, A Professional Corporation | |
|
11705 Slate Ave Ste 150 Riverside CA 92505-7119 | |
| (951) 689-8021 | |
| (951) 689-8025 |
| Full Name | H Sam Tong Dds Phd Inc, A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11705 Slate Ave Ste 150, Riverside, California |
| Authorized Official Name and Position | Hong Lin (GENERAL MANAGER) |
| Authorized Official Contact | 7149329355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H Sam Tong Dds Phd Inc, A Professional Corporation 20360 Via Manresa Yorba Linda CA 92887-3209 Ph: (714) 779-1392 | H Sam Tong Dds Phd Inc, A Professional Corporation 11705 Slate Ave Ste 150 Riverside CA 92505-7119 Ph: (951) 689-8021 |
| NPI Number | 1992082333 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992082333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 45037 (California) | Primary |
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