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1508069865
KENNETH L FONG
SAN FRANCISCO, CA
NPI
1508069865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 034698)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Dr. KENNETH L FONG D.D.S
1 DANIEL BURNHAM CT SUITE 390-C
SAN FRANCISCO, CA 94109-5455
Phone number: 415-775-8055
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Mailing Address
Dr. KENNETH L FONG D.D.S
1 DANIEL BURNHAM CT SUITE 390-C
SAN FRANCISCO, CA 94109-5455
Phone number: 415-775-8055
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