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1235325440
BRIAN FONG
SAN FRANCISCO, CA
NPI
1235325440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 56245)
Enumeration Date
2007-09-20
Last Update Date
2007-09-20
Business Address
-- BRIAN FONG D.D.S.
2364 GEARY BLVD
SAN FRANCISCO, CA 94115-3305
Phone number: 415-921-6722
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Mailing Address
-- BRIAN FONG D.D.S.
555 W BENJAMIN HOLT DR BUILDING B
STOCKTON, CA 95207-3839
Phone number:
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