Individual
DR. LYNDON DAIZO FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LYNDON FONG DDS MS
Contact information
Practice address
1441 KAPIOLANI BLVD STE 616, SUITE 616, HONOLULU, HI 96814-4403
(808) 947-3333
(808) 947-3381
Mailing address
1441 KAPIOLANI BLVD STE 616, SUITE 616, HONOLULU, HI 96814-4403
(808) 947-3333
(808) 947-3381
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1441
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1441
HI ST. DENTAL LIC. #
HI
Enumeration date
01/16/2007
Last updated
07/08/2007
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