Laura Kong, D.M.D Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1720446818
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 64903 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-02-03
- Last updated
- 2016-09-22
Practice location
2914 Domingo Ave, # A
Berkeley, CA 94705-2454
(510) 847-5898