Jong, Grant
Jong, Grant is an sole proprietor health care provider with primary practice located at 6180 Brockton Ave Suite 201, Riverside CA 92506-2228. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jong, Grant can be contacted via phone (951) 684-5611.Contact Information
Primary practice address
6180 Brockton Ave Suite 201
Riverside CA 92506-2228
Phone: (951) 684-5611
Fax: (951) 684-0516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 42666 | California |
Profile Details
| NPI number | 1255358172 |
|---|---|
| LBN Legal business name | Jong, Grant |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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