Dan W. Fong, D.d.s., A Professional Corporation | |
5659 Stockton Blvd Suite 2 Sacramento CA 95824-1611 | |
(916) 451-2473 | |
(916) 451-0620 |
Full Name | Dan W. Fong, D.d.s., A Professional Corporation |
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Speciality | Clinic/center - Dental |
Location | 5659 Stockton Blvd, Sacramento, California |
Authorized Official Name and Position | Dan W. Fong (PRESIDENT/DENTIST) |
Authorized Official Contact | 9164512473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dan W. Fong, D.d.s., A Professional Corporation 5659 Stockton Blvd Suite 2 Sacramento CA 95824-1611 Ph: (916) 451-2473 | Dan W. Fong, D.d.s., A Professional Corporation 5659 Stockton Blvd Suite 2 Sacramento CA 95824-1611 Ph: (916) 451-2473 |
NPI Number | 1841490992 |
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Provider Enumeration Date | 07/18/2007 |
Last Update Date | 07/18/2007 |
Identifier | Type | State | Issuer |
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1841490992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 28440 (California) | Primary |
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