Individual
DR. VALERIE C FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1015 W 34TH ST, AUSTIN, TX 78705-2008
(512) 206-2929
Mailing address
1015 W 34TH ST, AUSTIN, TX 78705-2008
(512) 206-2929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
58847
CA
1223G0001X
General Practice Dentistry
DN1855545
MA
1223P0221X
Pediatric Dentistry
Primary
29791
TX
1223P0221X
Pediatric Dentistry
DN1855545
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2009
Last updated
12/22/2020
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