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1376200204
JENNIFER FONG
NEWARK, NJ
NPI
1376200204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NJ 22DI02869600)
Enumeration Date
2021-11-27
Last Update Date
2021-11-27
Business Address
-- JENNIFER FONG DDS
66 SOMME ST
NEWARK, NJ 07105-3612
Phone number: 973-288-2723
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Mailing Address
-- JENNIFER FONG DDS
384 PATERSON AVE # 206
EAST RUTHERFORD, NJ 07073-1339
Phone number: 916-607-4992
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