SearchCalifornia124Q00000X

Colleen Kong, RDH

NPI 1811594898 · on the registry since 2020 · sole proprietor

Practice

Address
1410 Bent Dr
Campbell, CA 95008
Phone
(408) 412-3658

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-02

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