Individual
DR. DALE S.N. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
725 KAPIOLANI BLVD STE C204, HONOLULU, HI 96813-6023
(808) 593-8939
(808) 593-8307
Mailing address
725 KAPIOLANI BLVD STE C204, HONOLULU, HI 96813-6023
(808) 593-8939
(808) 593-8307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
165D
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026195
HMSA-QUEST
HI
01
—
026195
HMSA
HI
05
—
24450701
—
HI
Enumeration date
01/18/2007
Last updated
01/28/2011
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