Individual
DR. DALE S.N. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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