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1568449197
IAN SHANE FONG
PEMBROKE PINES, FL
NPI
1568449197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN15150)
Enumeration Date
2005-12-23
Last Update Date
2007-07-08
Business Address
Dr. IAN SHANE FONG D.D.S.
1900 N UNIVERSITY DR STE 201
PEMBROKE PINES, FL 33024-3618
Phone number: 954-432-8992
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Mailing Address
Dr. IAN SHANE FONG D.D.S.
1900 N UNIVERSITY DR STE 201
PEMBROKE PINES, FL 33024-3618
Phone number: 954-432-8992
Copy
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