Individual provider · Type 1 NPI

Grant Jong, DMD

Oral and Maxillofacial Surgery (Dentist) · Riverside, CA

NPI number 1255358172 Active

Practice location

6180 Brockton Ave, Suite 201
Riverside, CA 92506-2228

Call (951) 684-5611 Map

Fax (951) 684-0516

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X42666 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1255358172

Grant Jong, DMD's National Provider Identifier is 1255358172, issued on Jul 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.