Mr. Tae Jeong Gong
Mr. Tae Jeong Gong is a General Practice Dentistry in Henderson, Nevada. Practices as a sole proprietor. Licensed in Nevada.
- Licensed in
- NV
- In the registry since
- 2023
Practice location Address checks out
366 W Lake Mead Pkwy Ste 100Henderson, NV 89015-7287
Phone: (702) 464-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 8381 (NV) |
|---|
Record details
| NPI number | 1790463883 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 7, 2023 |
| Last updated in NPPES | June 24, 2026 |
| Certification date | June 24, 2026 |
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