Scott David Fong DMD

NPI 1154506343 - Dentist - 1223G0001X

NPI Details
NPI 1154506343
Gender Male
Enumeration Date 01/07/2008
Last Updated 01/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2435 SAN RAMON VALLEY BLVD
#1A
SAN RAMON CA, 94583-5380, US
Phone (925) 820-2868
Fax
Business Location
2435 SAN RAMON VALLEY BLVD
#1A
SAN RAMON CA, 94583-5380, US
Phone (925) 820-2868
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number CA38522
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According to our database, Dr. Scott David Fong DMD NPI is 1154506343, taxonomy code is 1223G0001X and license number is CA38522, license state is located at California. Scott David Fong DMD physically located at 2435 San Ramon Valley Blvd, San Ramon CA, 94583-5380. NPI Number Scott David Fong DMD has the Individual type.

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1154506343 NPI number is provided on an as is basis without warranty of any kind. 1154506343 is maintained by the National Plan & Provider Enumeration System. The contents of Scott David Fong DMD are for informational purposes only.