Individual
ALEXANDRA NICOLE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1690 MILLENIA AVE STE 102, CHULA VISTA, CA 91915-2889
(619) 348-5324
Mailing address
1690 MILLENIA AVE STE 102, CHULA VISTA, CA 91915-2889
(619) 348-5324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108957
CA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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