SearchCaliforniaGeneral Practice Dentistry

Peter Fong

NPI 1598169534 · on the registry since 2014

Practice

Address
2 Civic Center Dr., #4429
San Rafael, CA 94913
Phone
(415) 320-0569
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-05
Status
Not present in the most recent federal file

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