RANDY FONG

SANTA ANA, CA
NPI1104952803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  33761)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Dr. RANDY FONG D.D.S.
3620 S BRISTOL ST SUITE #208
SANTA ANA, CA 92704-7300
Phone number: 714-549-1903
Mailing Address
Dr. RANDY FONG D.D.S.
3620 S BRISTOL ST SUITE #208
SANTA ANA, CA 92704-7300
Phone number: 714-549-1903