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Organization
MICHAEL J FONG, DDS, INC
Active
Organization
MICHAEL J FONG, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J FONG DDS (CEO)
(650) 968-3146
Entity
Organization
Contact information
Practice address
2500 HOSPITAL DR, #6, MOUNTAIN VIEW, CA 94040-4106
(650) 968-3146
Mailing address
2500 HOSPITAL DR, #6, MOUNTAIN VIEW, CA 94040-4106
(650) 968-3146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42468
CA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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