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NPI Code Detail

MEDICARE: JAMES J. HONG

MEDICARE: JAMES J. HONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3508NV

General Provider Information

NPI Number : 1972726214
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES J. HONG
Provider Business Mailing Address
First Line : 8821 W SAHARA AVE
Second Line : SUITE 110
City : LAS VEGAS
State : NV
Zip : 89117-5893
Country : US
Telephone Number : 702-255-1848
Fax Number : 702-256-7043
Provider Business Practice Location Address
First Line : 8821 W SAHARA AVE
Second Line : SUITE 110
City : LAS VEGAS
State : NV
Zip : 89117-5893
Country : US
Telephone Number : 702-255-1848
Fax Number : 702-256-7043
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES J HONG
Credential : DDS
Telephone Number : 702-255-1848
Provider Enumeration Date : 04/11/2007
Last Update Date : 06/24/2008

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