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1821112400
CHUNG H FONG
SACRAMENTO, CA
NPI
1821112400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 17276)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Dr. CHUNG H FONG D.D.S.
2525 K ST. #306
SACRAMENTO, CA 95816
Phone number: 916-442-8553
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Mailing Address
Dr. CHUNG H FONG D.D.S.
2525 K ST. #306
SACRAMENTO, CA 95816
Phone number: 916-442-8553
Copy
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