| Louis Hong Dental Corporation | |
| 
					1714 Freedom Blvd Freedom CA 95019-3025  | |
| (831) 768-0707 | |
| Not Available | 
| Full Name | Louis Hong Dental Corporation | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 1714 Freedom Blvd, Freedom, California | 
| Authorized Official Name and Position | Louis Hong (CEO) | 
| Authorized Official Contact | 8317680707 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Louis Hong Dental Corporation 1714 Freedom Blvd Freedom CA 95019-3025 Ph: (831) 768-0707  | Louis Hong Dental Corporation 1714 Freedom Blvd Freedom CA 95019-3025 Ph: (831) 768-0707  | 
| NPI Number | 1093116949 | 
|---|---|
| Provider Enumeration Date | 09/10/2014 | 
| Last Update Date | 09/10/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093116949 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46266 (California) | Primary | 
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