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Dr. Brian B Fong, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Elk Grove, California
NPI 1609927425

Brian B Fong is a Oral and Maxillofacial Surgery (Dentist) based in Elk Grove, CA and is specialized in Oral and Maxillofacial Surgery. Brian B Fong practices in Elk Grove, CA and has the professional credentials of DMD,MD. The NPI Number for Brian B Fong is 1609927425 and holds a License No. 51473 (California).

The current practice location address for Brian B Fong is 9390 Big Horn Blvd., Elk Grove, CA and can be reached out via phone at 916-683-7777 and via fax at 916-683-8009.

Location: 9390 Big Horn Blvd., Elk Grove, CA, 95758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609927425
Provider Name
Brian B Fong
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
9390 Big Horn Blvd., Elk Grove, CA, 95758
Phone Number
916-683-7777
Fax Number
916-683-8009
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9390 Big Horn Blvd.
City
Elk Grove
State
California
Zip
95758
Phone Number
916-683-7777
Fax Number
916-683-8009
person
Provider Business Mailing Address Details
Address
9390 Big Horn Blvd.
City
Elk Grove
State
California
Zip
95758
Phone Number
916-683-7777
Fax Number
916-683-8009
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
51473 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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