BRUCE DAVID FONG

OAKLAND, CA
NPI1124157011
Professional NameBRUCE DAVID FONG
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  39636)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
Dr. BRUCE DAVID FONG DDS
5655 COLLEGE AVE SUITE 312
OAKLAND, CA 94618-1583
Phone number: 510-653-6677
Mailing Address
Dr. BRUCE DAVID FONG DDS
20 HILTON CT
WALNUT CREEK, CA 94595-1315
Phone number: 925-988-0433
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