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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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