Provider Demographics
NPI:1881244325
Name:ONG, ALFRED CHRISTIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:CHRISTIAN
Last Name:ONG
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 1:7801 19TH ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4019
Mailing Address - Country:US
Mailing Address - Phone:949-302-7281
Mailing Address - Fax:
Practice Address - Street 1:5204 ROAD 68
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9275
Practice Address - Country:US
Practice Address - Phone:509-547-9955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA609886421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice