Individual
DR. JENNIFER ALICIA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1670 CLAIRMONT RD, ATTN: VACC, DECATUR, GA 30033-4004
(470) 217-4574
Mailing address
1670 CLAIRMONT RD, ATTN: VACC, DECATUR, GA 30033-4004
(470) 217-4574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54833
CA
Other
Enumeration date
03/19/2007
Last updated
05/25/2025
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