PETER FONG

SAN RAFAEL, CA
NPI1598169534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  40817)
Enumeration Date2014-10-20
Last Update Date2015-06-05
Business Address
Dr. PETER FONG
2 CIVIC CENTER DR., #4429
SAN RAFAEL, CA 94913-4429
Phone number: 415-320-0569
Mailing Address
Dr. PETER FONG
2 CIVIC CENTER DR., #4429
SAN RAFAEL, CA 94913-4429
Phone number: 415-320-0569
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