| Jade T. Ong Dds. Inc. | |
|
15243 Vanowen St Suite 404 Van Nuys CA 91405-3605 | |
| (818) 908-1175 | |
| (818) 582-2556 |
| Full Name | Jade T. Ong Dds. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15243 Vanowen St, Van Nuys, California |
| Authorized Official Name and Position | Jade Ting Ong (OWNER) |
| Authorized Official Contact | 8189081175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade T. Ong Dds. Inc. 15243 Vanowen St Suite 404 Van Nuys CA 91405 Ph: (818) 908-1175 | Jade T. Ong Dds. Inc. 15243 Vanowen St Suite 404 Van Nuys CA 91405-3605 Ph: (818) 908-1175 |
| NPI Number | 1124450580 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124450580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43221 (California) | Primary |
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