Provider Demographics
NPI:1801012059
Name:WILLIAM N ONG DDS, INC
Entity Type:Organization
Organization Name:WILLIAM N ONG DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:ONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-991-7397
Mailing Address - Street 1:6740 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2031
Mailing Address - Country:US
Mailing Address - Phone:650-991-7397
Mailing Address - Fax:650-991-7398
Practice Address - Street 1:3510 BALBOA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2602
Practice Address - Country:US
Practice Address - Phone:415-876-4847
Practice Address - Fax:415-876-4853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty