| Shan Gong Dmd Ms Inc | |
|
8413 N Millbrook Ave Ste 101 Fresno CA 93720-2195 | |
| (559) 448-9000 | |
| Not Available |
| Full Name | Shan Gong Dmd Ms Inc |
|---|---|
| Speciality | Dentist |
| Location | 8413 N Millbrook Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Shan Gong (PRESIDENT) |
| Authorized Official Contact | 5594489000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shan Gong Dmd Ms Inc 8413 N Millbrook Ave Ste 101 Fresno CA 93720-2195 Ph: (559) 448-9000 | Shan Gong Dmd Ms Inc 8413 N Millbrook Ave Ste 101 Fresno CA 93720-2195 Ph: (559) 448-9000 |
| NPI Number | 1558194928 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558194928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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