Provider Demographics
NPI:1376684423
Name:DING, KONG-CHOW (DDS)
Entity Type:Individual
Prefix:DR
First Name:KONG-CHOW
Middle Name:
Last Name:DING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 MCCLENDON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2021
Mailing Address - Country:US
Mailing Address - Phone:281-575-0701
Mailing Address - Fax:
Practice Address - Street 1:11210 BELLAIRE BLVD STE 137
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2528
Practice Address - Country:US
Practice Address - Phone:281-575-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX170151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice