HENRY K PONG, DDS, PSC

Dentist

Active Organization
NPI: 1174620769

Practice Address

3820 CENTRAL AVE
Lake Station, IN 46405

Phone: (219) 962-8666

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 54000645 (IN)

Frequently Asked Questions

NPI 1174620769 is the National Provider Identifier for HENRY K PONG, DDS, PSC, a Dentist provider located in Lake Station, IN. This NPI was enumerated on September 17, 2006.

Quick Facts

NPI
1174620769
Type
Organization
Enumerated
Sep 17, 2006
Last Updated
Feb 19, 2013

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