Individual provider · Type 1 NPI
Lawrence Eugene Fong, DDS
General Practice Dentistry · Fairfax, CA
NPI number
1366652117
Active
Practice location
61A Broadway Blvd
Fairfax, CA 94930-1653
Fax (415) 459-6218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 22068 (CA) |
General Practice Dentistry: 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.
About NPI 1366652117
Lawrence Eugene Fong, DDS's National Provider Identifier is 1366652117, issued on May 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairfax, CA. The record was last updated on Jul 8, 2007.