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Dr. Lawrence Eugene Fong, DDS
General Practice Dentistry in Fairfax, California
NPI 1366652117

Lawrence Eugene Fong is a General Practice Dentistry based in Fairfax, CA and is specialized in General Practice. Lawrence Eugene Fong practices in Fairfax, CA and has the professional credentials of DDS. The NPI Number for Lawrence Eugene Fong is 1366652117 and holds a License No. 22068 (California).

The current practice location address for Lawrence Eugene Fong is 61A Broadway Blvd, Fairfax, CA and can be reached out via phone at 415-457-3377 and via fax at 415-459-6218.

Location: 61A Broadway Blvd, Fairfax, CA, 94930-1653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366652117
Provider Name
Lawrence Eugene Fong
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
61A Broadway Blvd, Fairfax, CA, 94930-1653
Phone Number
415-457-3377
Fax Number
415-459-6218
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
61A Broadway Blvd
City
Fairfax
State
California
Zip
94930-1653
Phone Number
415-457-3377
Fax Number
415-459-6218
person
Provider Business Mailing Address Details
Address
61A Broadway Blvd
City
Fairfax
State
California
Zip
94930-1653
Phone Number
415-457-3377
Fax Number
415-459-6218
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22068 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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