Organization
LYNDON D. FONG DDS MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDON D. FONG DDS (SOLE PROPRIETOR)
(808) 947-3333
Entity
Organization
Contact information
Practice address
1441 KAPIOLANI BLVD, 616, HONOLULU, HI 96814-4402
(808) 947-3333
Mailing address
1441 KAPIOLANI BLVD, 616, HONOLULU, HI 96814-4402
(808) 947-3333
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1440
HI
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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