DR. David T Fong, DMD

NPI #1083724132 in Southbury, Connecticut

Provider Information

NPI Number: 1083724132
Entity Type: Individual
Name: DR. David T Fong, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 209 PLAYHOUSE CORNER
City: Southbury
State: Connecticut
ZIP Code: 06488
Phone: (203) 264-0678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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