| Dr Agnes Gan Ong, DMD | |
|
655 S Central Valley Hwy, Shafter, CA 93263-2790 | |
| (661) 746-9194 | |
| (661) 459-1974 |
| Full Name | Dr Agnes Gan Ong |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 655 S Central Valley Hwy, Shafter, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700880622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49383 (California) | Primary |
| Entity Name | Omni Family Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700891660 PECOS PAC ID: 9234176363 Enrollment ID: O20050411000986 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Agnes Gan Ong, DMD 659 S Central Valley Hwy, Shafter, CA 93263-2790 Ph: (661) 459-1900 | Dr Agnes Gan Ong, DMD 655 S Central Valley Hwy, Shafter, CA 93263-2790 Ph: (661) 746-9194 |
Dr. Ruby Estrada Dacio, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 410 James St, Shafter, CA 93263 Phone: 661-746-3228 Fax: 661-746-3078 | |
Nasr Mousa Botrous Mousa, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 659 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-459-1900 Fax: 661-459-1974 | |
Dr. Josephine C. Silverio, DDS Dentist Medicare: Medicare Enrolled Practice Location: 655 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-459-1901 Fax: 661-459-1974 | |
Dr. Lutgarda O. Perez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 410 James St, Shafter, CA 93263 Phone: 661-746-4067 Fax: 661-746-3078 | |
Dr. Amgad A Faragalla, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 655 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-746-9194 Fax: 661-746-9197 | |
Olivia Jin-young Park, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1110 E Lerdo Hwy # 200, Shafter, CA 93263 Phone: 661-746-6989 |