BRIAN R FONG

HAYWARD, CA
NPI1801288071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  38994)
Enumeration Date2015-02-25
Last Update Date2015-02-25
Business Address
BRIAN R FONG D.D.S.
21048 HAVILAND AVE
HAYWARD, CA 94541-2036
Phone number: 510-581-2142
Mailing Address
BRIAN R FONG D.D.S.
21048 HAVILAND AVE
HAYWARD, CA 94541-2036
Phone number: 510-581-2142
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