Individual
DR. DAVID T FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
209 PLAYHOUSE CORNER, SOUTHBURY, CT 06488
(203) 264-0678
(203) 264-8654
Mailing address
209 PLAYHOUSE CORNER, SOUTHBURY, CT 06488
(203) 264-0678
(203) 264-8654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
005936
CT
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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