Individual
DR. IAN SHANE FONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1900 N UNIVERSITY DR, STE 201, PEMBROKE PINES, FL 33024-3618
(954) 432-8992
(954) 432-8843
Mailing address
1900 N UNIVERSITY DR, STE 201, PEMBROKE PINES, FL 33024-3618
(954) 432-8992
(954) 432-8843
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15150
FL
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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