Individual
DR. ANDREW B. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4000 S BASCOM AVE, SUITE 8, SAN JOSE, CA 95124-2663
(408) 377-5833
(408) 377-3383
Mailing address
4000 S BASCOM AVE, SUITE 8, SAN JOSE, CA 95124-2663
(408) 377-5833
(408) 377-3383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38420
CA
Other
Enumeration date
09/22/2006
Last updated
11/15/2011
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