Provider Demographics
NPI:1518773175
Name:DING, RONGCHEN (DDS)
Entity type:Individual
Prefix:DR
First Name:RONGCHEN
Middle Name:
Last Name:DING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DESMOND
Other - Middle Name:
Other - Last Name:DING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3395 MICHELSON DR APT 5527
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-3450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:140 HIDDEN VALLEY PKWY STE K
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-4002
Practice Address - Country:US
Practice Address - Phone:951-898-8673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1103281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice