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1104952803
RANDY FONG
SANTA ANA, CA
NPI
1104952803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 33761)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Dr. RANDY FONG D.D.S.
3620 S BRISTOL ST SUITE #208
SANTA ANA, CA 92704-7300
Phone number: 714-549-1903
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Mailing Address
Dr. RANDY FONG D.D.S.
3620 S BRISTOL ST SUITE #208
SANTA ANA, CA 92704-7300
Phone number: 714-549-1903
Copy
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