PETER FONG, DDS, INC.

SAN RAFAEL, CA
NPI1578777918
Entity TypeOrganization
Authorized ContactPETER FONG
President
415-472-2770
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  40817)
Enumeration Date2007-05-09
Last Update Date2009-08-17
Business Address
PETER FONG, DDS, INC.
1050 NORTHGATE DR STE 139
SAN RAFAEL, CA 94903-2559
Phone number: 415-472-2770
Mailing Address
PETER FONG, DDS, INC.
1050 NORTHGATE DR STE 139
SAN RAFAEL, CA 94903-2559
Phone number: 415-472-2770
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