Bong, Jessica

Bong, Jessica is an individual health care provider with primary practice located at 19366 Soledad Canyon Rd , Canyon Country CA 91351-2629. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bong, Jessica can be contacted via phone (661) 252-8888.

Contact Information

Primary practice address
19366 Soledad Canyon Rd Canyon Country CA 91351-2629
Phone: (661) 252-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 59618 California

Profile Details

NPI number 1578872313
LBN Legal business name Bong, Jessica
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2010
Last updated Sep 28th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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