Dr Clark L. Fong, DDS, a Professional Dental Corporation
Dr Clark L. Fong, DDS, a Professional Dental Corporation provides Dentist services in San Mateo, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
401A N San Mateo DrSan Mateo, CA 94401-2417 Not confirmed with CMS for 13 years — call before visiting
Phone: (650) 344-7626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 40351 (CA) |
|---|
Record details
| NPI number | 1578803268 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clark Fong — Owner · (650) 344-7626 |
| NPI enumerated | February 18, 2013 |
| Last updated in NPPES | February 18, 2013 |
| Mailing address | 401a N San Mateo Dr, San Mateo, CA 94401-2417 |
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