MADELINE FONG

SAN RAFAEL, CA
NPI1194555144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  110451)
Enumeration Date2024-08-05
Last Update Date2024-08-05
Business Address
Dr. MADELINE FONG DDS
1523 5TH AVE
SAN RAFAEL, CA 94901-1806
Phone number: 415-453-6277
Mailing Address
Dr. MADELINE FONG DDS
1555 28TH AVE
SAN FRANCISCO, CA 94122-3231
Phone number: 415-806-2226