| Michael J Fong, Dds, Inc | |
|
2500 Hospital Dr #6 Mountain View CA 94040-4106 | |
| (650) 968-3146 | |
| Not Available |
| Full Name | Michael J Fong, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2500 Hospital Dr, Mountain View, California |
| Authorized Official Name and Position | Michael J Fong (CEO) |
| Authorized Official Contact | 6509683146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Fong, Dds, Inc 2500 Hospital Dr #6 Mountain View CA 94040-4106 Ph: (650) 968-3146 | Michael J Fong, Dds, Inc 2500 Hospital Dr #6 Mountain View CA 94040-4106 Ph: (650) 968-3146 |
| NPI Number | 1073770319 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073770319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42468 (California) | Primary |
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