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1003912528
KEVIN DAVID FONG
HAYWARD, CA
NPI
1003912528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 41248)
Enumeration Date
2006-09-15
Last Update Date
2008-07-17
Business Address
Dr. KEVIN DAVID FONG DDS
944 W WINTON AVE
HAYWARD, CA 94545-1521
Phone number: 510-783-1572
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Mailing Address
Dr. KEVIN DAVID FONG DDS
944 W WINTON AVE
HAYWARD, CA 94545-1521
Phone number: 510-783-1572
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