Individual
DR. COURTNEY FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
79 AVENUE U, BROOKLYN, NY 11223-3554
(718) 373-6707
(718) 373-6799
Mailing address
1 RIVER CT APT 1401, JERSEY CITY, NJ 07310-2006
(646) 285-4861
(201) 626-4192
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
053511-1
NY
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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