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Individual

DR. JENNIFER MELISSA FONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
333 GELLERT BLVD, SUITE #242, DALY CITY, CA 94015-2621
(650) 757-3636
Mailing address
333 GELLERT BLVD, SUITE #242, DALY CITY, CA 94015-2621
(650) 757-3636

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
57333
CA
1223G0001X
General Practice Dentistry
57333
CA

Other

Enumeration date
08/07/2008
Last updated
01/08/2015
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