| Glenn S. Fung, Dmd., Inc | |
|
885 Markham Ave Vacaville CA 95688-2988 | |
| (707) 448-8851 | |
| Not Available |
| Full Name | Glenn S. Fung, Dmd., Inc |
|---|---|
| Speciality | Dentist |
| Location | 885 Markham Ave, Vacaville, California |
| Authorized Official Name and Position | Glenn S. Fung (PRESIDENT) |
| Authorized Official Contact | 7074488851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn S. Fung, Dmd., Inc 885 Markham Ave Vacaville CA 95688-2988 Ph: (707) 448-8851 | Glenn S. Fung, Dmd., Inc 885 Markham Ave Vacaville CA 95688-2988 Ph: (707) 448-8851 |
| NPI Number | 1174775092 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174775092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39957 (California) | Primary |
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