DAN C FONG

COLUMBIA, SC
NPI1114979002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: CA  41249)
Enumeration Date2006-05-17
Last Update Date2016-06-02
Business Address
-- DAN C FONG DDS
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number: 803-751-5221
Mailing Address
-- DAN C FONG DDS
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number: 803-751-5221
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