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Dr. Jason R Gong, DDS
General Practice Dentistry in Torrance, California
NPI 1740773423

Jason R Gong is a General Practice Dentistry based in Torrance, CA and is specialized in General Practice. Jason R Gong practices in Torrance, CA and has the professional credentials of DDS. The NPI Number for Jason R Gong is 1740773423 and holds a License No. (California).

The current practice location address for Jason R Gong is 3440 Lomita Blvd Ste 340, Torrance, CA and can be reached out via phone at 310-530-9893.

Location: 3440 Lomita Blvd Ste 340, Torrance, CA, 90503-1864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740773423
Provider Name
Jason R Gong
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3440 Lomita Blvd Ste 340, Torrance, CA, 90503-1864
Phone Number
310-530-9893
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3440 Lomita Blvd Ste 340
City
Torrance
State
California
Zip
90505-4887
Phone Number
310-530-9893
Fax Number
person
Provider Business Mailing Address Details
Address
3440 Lomita Blvd Ste 340
City
Torrance
State
California
Zip
90505-4887
Phone Number
310-530-9893
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
104405 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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