Henley Herbert Fong

NPI #1255456703 in Las Vegas, Nevada

Provider Information

NPI Number: 1255456703
Entity Type: Individual
Name: Henley Herbert Fong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9484 W LAKE MEAD BLVD STE 2
City: Las Vegas
State: Nevada
ZIP Code: 89134-8339
Phone: (702) 304-8338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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