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1629003355
LESLIE THOMAS FONG
SACRAMENTO, CA
NPI
1629003355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 29919)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
Dr. LESLIE THOMAS FONG D.D.S.
103 SCRIPPS DR STE 4
SACRAMENTO, CA 95825-6316
Phone number: 916-929-3356
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Mailing Address
Dr. LESLIE THOMAS FONG D.D.S.
103 SCRIPPS DR STE 4
SACRAMENTO, CA 95825-6316
Phone number: 916-929-3356
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