Search › California › 122300000X
Jessica Bong, DDS
NPI 1578872313 · on the registry since 2010
Practice
- Address
- 19366 Soledad Canyon Rd
Canyon Country, CA 91351 - Phone
- (661) 252-8888
- Organisation at this address
- Alexi Kossi, Dds Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California