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1801001193
GARY G FONG
HAYWARD, CA
NPI
1801001193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 340957)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
DR. GARY G FONG D.D.S.
22551 2ND ST STE 265
HAYWARD, CA 94541-4130
Phone number: 510-582-8727
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Mailing Address
DR. GARY G FONG D.D.S.
22551 2ND ST STE 265
HAYWARD, CA 94541-4130
Phone number: 510-582-8727
Copy
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