DR. Lawrence Eugene Fong, DDS
NPI #1366652117 in Fairfax, California
Provider Information
- NPI Number
- 1366652117
- Entity Type
- Individual
- Name
- DR. Lawrence Eugene Fong, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 61A BROADWAY BLVD
- City
- Fairfax
- State
- California
- ZIP Code
- 94930-1653
- Phone
- (415) 457-3377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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