PETER FONG, DDS, INC.
Dentist at Northgate Dr, San Rafael, CA

License number
California 40817
Category
Dentist
Type
General Practice
Owner
Name: PETER FONG
Title: PRESIDENT
Phone: (415) 472-2770
Address
Address
1050 Northgate Dr STE 139, San Rafael, CA 94903
National Provider ID: 1578777918
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER FONG, D.D.S., INC

San Rafael, CA

Status:
Inactive
Industry:
Dentist's Office
Doing business as:
Peter Fong DDS Inc
Registration:
Jan 1, 2005
Addresses:
1050 Northgate Dr STE #139, San Rafael, CA 94903 (Physical)
900 Las Gallinas Ave, San Rafael, CA 94903
State ID:
C2694927
Business type:
Articles of Incorporation
President:
Peter Fong President, inactive

Dentist licenses in California