| John Ks Tong, Dds, Inc. | |
|
10311 S De Anza Blvd #3 Cupertino CA 95014-3028 | |
| (408) 996-8000 | |
| (408) 996-8008 |
| Full Name | John Ks Tong, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10311 S De Anza Blvd, Cupertino, California |
| Authorized Official Name and Position | John Ks Tong (OWNER) |
| Authorized Official Contact | 4089968000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Ks Tong, Dds, Inc. 10311 S De Anza Blvd #3 Cupertino CA 95014-3028 Ph: (408) 996-8000 | John Ks Tong, Dds, Inc. 10311 S De Anza Blvd #3 Cupertino CA 95014-3028 Ph: (408) 996-8000 |
| NPI Number | 1730229402 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730229402 | NPI | - | NPPES |
| 1508943812 | Other | CA | INDIVIDUAL NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44788 (California) | Primary |
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