Jerald M Hong, DDS Valid NPI

Individual provider · General Practice Dentistry · Thousand Oaks, CA

NPI

1306920616

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

24986 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-24

Last updated

2007-07-08