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1114979002
DAN C FONG
COLUMBIA, SC
NPI
1114979002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: CA 41249)
Enumeration Date
2006-05-17
Last Update Date
2016-06-02
Business Address
-- DAN C FONG DDS
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number: 803-751-5221
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Mailing Address
-- DAN C FONG DDS
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number: 803-751-5221
Copy
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