Fu Wong Dds Pa

NPI 1750556627 - Dentist - 122300000X

NPI Details
NPI 1750556627
Enumeration Date 04/23/2008
Last Updated 04/23/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FU KEUNG FU
Position PRESIDENT DENTIST
Phone (763) 424-4415
Fax (763) 425-9428
Practice Location
7200 HEMLOCK LANE N FU WONG DDS PA
SUITE 105
MAPLE GROVE MN, 55369, US
Phone (763) 424-4415
Fax (763) 425-9428
Business Location
7200 HEMLOCK LANE N FU WONG DDS PA
SUITE 105
MAPLE GROVE MN, 55369, US
Phone (763) 424-4415
Fax (763) 425-9428
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 10739
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According to our database, Fu Wong Dds Pa NPI is 1750556627, taxonomy code is 122300000X and license number is 10739, license state is located at Minnesota. Fu Wong Dds Pa physically located at 7200 Hemlock Lane N Fu Wong Dds Pa, Maple Grove MN, 55369. NPI Number 1033115704 has the healthcare provider type.

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1750556627 NPI number is provided on an as is basis without warranty of any kind. 1750556627 is maintained by the National Plan & Provider Enumeration System. The contents of Fu Wong Dds Pa are for informational purposes only.