Individual
DR. NICKY ANDREW FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
831 TIMBER CREEK DR, SUITE 1, CORDOVA, TN 38018-3108
(901) 754-8080
Mailing address
1735 HUNTERS BLUFF DR, APT. 202, MEMPHIS, TN 38120-4484
(901) 605-7380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000008438
TN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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