Individual
DR. CECILIA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10317 SAN PABLO AVE, EL CERRITO, CA 94530-3113
(510) 528-9950
(510) 528-9960
Mailing address
10317 SAN PABLO AVE, EL CERRITO, CA 94530-3113
(510) 528-9950
(510) 528-9960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37662
CA
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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