BRIAN WILLIAM FONG

REDWOOD CITY, CA
NPI1720184294
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  50138)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
Dr. BRIAN WILLIAM FONG D.M.D.
3023 BROADWAY
REDWOOD CITY, CA 94062-1511
Phone number: 650-474-0551
Mailing Address
Dr. BRIAN WILLIAM FONG D.M.D.
3023 BROADWAY
REDWOOD CITY, CA 94062-1511
Phone number: 650-474-0551