Dan C Fong, DDS

NPI #1114979002 in Columbia, South Carolina

Provider Information

NPI Number: 1114979002
Entity Type: Individual
Name: Dan C Fong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Prosthodontics
Credential: DDS
Enumeration Date: May 17, 2006
Last Updated: Jun 2, 2016

Practice Location

Address: 4323 HILL ST
City: Columbia
State: South Carolina
ZIP Code: 29207-6022
Phone: (803) 751-5221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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