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1720102106
JENNIFER ALICIA FONG
COLUMBIA, SC
NPI
1720102106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 54833)
Enumeration Date
2007-03-19
Last Update Date
2022-03-12
Business Address
Dr. JENNIFER ALICIA FONG DDS
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
Dr. JENNIFER ALICIA FONG DDS
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Copy
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