| Elizabeth Tong Dds Corp. | |
|
14055 Perris Blvd Ste 105 Moreno Valley CA 92553-4462 | |
| (951) 518-9998 | |
| (951) 518-9595 |
| Full Name | Elizabeth Tong Dds Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14055 Perris Blvd Ste 105, Moreno Valley, California |
| Authorized Official Name and Position | Elizabeth L Tong (OWNER DENTIST) |
| Authorized Official Contact | 3232510962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Tong Dds Corp. 14055 Perris Blvd Ste 105 Moreno Valley CA 92553-4462 Ph: (951) 518-9998 | Elizabeth Tong Dds Corp. 14055 Perris Blvd Ste 105 Moreno Valley CA 92553-4462 Ph: (951) 518-9998 |
| NPI Number | 1194521658 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 02/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194521658 | NPI | - | NPPES |
| 102887 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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