Peter Fong, Dds, Inc.
NPI #1578777918 in San Rafael, California
Provider Information
- NPI Number
- 1578777918
- Entity Type
- Organization
- Organization Name
- Peter Fong, Dds, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 9, 2007
- Last Updated
- Aug 17, 2009
Practice Location
- Address
- 1050 NORTHGATE DR STE 139
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-2559
- Phone
- (415) 472-2770
Authorized Official
- Name
- PETER FONG
- Title
- PRESIDENT
- Phone
- (415) 472-2770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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