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1609927425
BRIAN B FONG
ELK GROVE, CA
NPI
1609927425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 51473)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Dr. BRIAN B FONG DMD, MD
9390 BIG HORN BLVD. SUITE 100
ELK GROVE, CA 95758
Phone number: 916-683-7777
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Mailing Address
Dr. BRIAN B FONG DMD, MD
9390 BIG HORN BLVD. SUITE 100
ELK GROVE, CA 95758
Phone number: 916-683-7777
Copy
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