Individual
DR. EMILIE M FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
70 BOWERY STREET, SUITE 502, NEW YORK, NY 10013
(212) 925-4390
(212) 925-4578
Mailing address
70 BOWERY STREET, SUITE 502, NEW YORK, NY 10013
(212) 925-4390
(212) 925-4578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040639-1
NY
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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