Search › California › 122300000X
Madeline Fong, DDS
NPI 1194555144 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1523 5th Ave
San Rafael, CA 94901 - Phone
- (415) 453-6277
- Organisation at this address
- Pacific Dental Group
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-05
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