Hae Jin Hong, DDS Valid NPI
Individual provider · General Practice Dentistry · Fort Campbell, KY
- NPI
- 1811080302
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 54262 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-02
- Last updated
- 2021-07-09
Practice location
2441 21st St
Fort Campbell, KY 42223-5582
(270) 798-8751