Grant Fong, DDS

NPI 1174127138 · on the registry since 2020

Practice

Address: 3000 L St Ste 215
Sacramento, CA 95816
Phone: (916) 457-7080
Organisation at this address: Brian D Tracy Od
Brian D Tracy, Od
The Road To Wellness
Capital Family Dental Group
Everside Health, Sacramento
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California