Individual
DR. BARRY LAI FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
447 29TH ST STE 109, OAKLAND, CA 94609-3597
(510) 451-3636
(510) 451-3607
Mailing address
447 29TH ST STE 109, OAKLAND, CA 94609-3597
(510) 451-3636
(510) 451-3607
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21569
CA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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