Most Relevant Information
Provider Data
| NPI Number: | 1003043688 |
| Provider Name: | JENNIFER KONG DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 24723 |
Most Important Dates
| Enumeration Date: | 06/22/2009 |
| Last Updated: | 09/17/2015 |
Provider Practice Location
11525 S FRY RD STE A
FULSHEAR
TX
774412156
Practice Location Phone/Fax
| Phone: | 8329136353 |
| Fax: |
Provider Mailing Location
11525 S FRY RD STE A
FULSHEAR
TX
774412156
Provider Mailing Phone/Fax
| Phone: | 8329136353 |
| Fax: |