Provider Demographics
NPI:1932349701
Name:LILIAN S. ONG, D.D.S, INC
Entity Type:Organization
Organization Name:LILIAN S. ONG, D.D.S, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:SIAOMAN
Authorized Official - Last Name:ONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-918-3388
Mailing Address - Street 1:820 W MERCED AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-4901
Mailing Address - Country:US
Mailing Address - Phone:626-918-3388
Mailing Address - Fax:626-918-3359
Practice Address - Street 1:820 W MERCED AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-4901
Practice Address - Country:US
Practice Address - Phone:626-918-3388
Practice Address - Fax:626-918-3359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29752261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental