| Ka Yan Mary Fong Dds Inc | |
|
3121 Geary Blvd San Francisco CA 94118 | |
| (415) 702-6386 | |
| (415) 702-8382 |
| Full Name | Ka Yan Mary Fong Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3121 Geary Blvd, San Francisco, California |
| Authorized Official Name and Position | Ka Yan Mary Fong (PRESIDENT) |
| Authorized Official Contact | 4153597817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ka Yan Mary Fong Dds Inc 43 Raymond Ave San Francisco CA 94134 Ph: (415) 359-7817 | Ka Yan Mary Fong Dds Inc 3121 Geary Blvd San Francisco CA 94118 Ph: (415) 702-6386 |
| NPI Number | 1750851382 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 11/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750851382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
City Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 Geary Blvd Ste 400, San Francisco, CA 94118 Phone: 415-776-8581 Fax: 415-441-6224 | |
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