Individual
DR. DENNIS WILLIAM FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
230 MINOR HALL, UC BERKELEY SCHOOL OF OPTOMETRY, BERKELEY, CA 94720-0001
(510) 643-7965
Mailing address
1161 SUTTER ST, BERKELEY, CA 94707-2637
(510) 527-6237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7460
CA
Other
Enumeration date
02/22/2007
Last updated
01/05/2011
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