DR. Wayne C. Fong, DDS

NPI #1720069222 in Oakland, California

Provider Information

NPI Number
1720069222
Entity Type
Individual
Name
DR. Wayne C. Fong, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 10, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1624 FRANKLIN ST
Address 2
SUITE 410
ZIP Code
94612-2897
Phone
(510) 444-1083

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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