JOEL A FONG

GRASS VALLEY, CA
NPI1336637909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  DDS104341)
Enumeration Date2018-04-28
Last Update Date2021-06-09
Business Address
JOEL A FONG
1350 E MAIN ST
GRASS VALLEY, CA 95945-5208
Phone number: 530-477-8545
Mailing Address
JOEL A FONG
3180 COUNTRY CLUB DR APT 3B
CAMERON PARK, CA 95682-8546
Phone number: 510-393-3727
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