Walter Rong Dds, A Professional Corporation

NPI 1578802450 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1578802450
Enumeration Date 02/12/2013
Last Updated 02/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WALTER WALTER
Position CEO
Phone (626) 339-7012
Fax (626) 339-7010
Practice Location
546 W BADILLO ST
SUITE A
COVINA CA, 91722-3786, US
Phone (626) 339-7012
Fax (626) 339-7010
Business Location
546 W BADILLO ST
SUITE A
COVINA CA, 91722-3786, US
Phone (626) 339-7012
Fax (626) 339-7010
Toxanomy
Taxonomy Code 305R00000X
License State California
License Number 50094
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According to our database, Walter Rong Dds, A Professional Corporation NPI is 1578802450, taxonomy code is 305R00000X and license number is 50094, license state is located at California. Walter Rong Dds, A Professional Corporation physically located at 546 W Badillo St, Covina CA, 91722-3786. NPI Number 1033115704 has the healthcare provider type.

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1578802450 NPI number is provided on an as is basis without warranty of any kind. 1578802450 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Rong Dds, A Professional Corporation are for informational purposes only.