Garrett S. Fong, D.M.D., INC.
Dentist, Orthodontics and Dentofacial Orthopedics in Temple City, CA. Organization (NPI-2).
NPI number1124841986
StatusActive
Last updated in NPPESNov 1, 2024
Details
- NPI
- 1124841986
- Entity type
- Organization (NPI-2)
- Legal business name
- Garrett S. Fong, D.M.D., INC.
- Organization subpart
- No
- Enumeration date
- Oct 31, 2024
- Certification date
- Nov 1, 2024
- Last updated
- Nov 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
9909 East Las Tunas DriveTemple City, CA 91780
Phone 626-286-7151
Mailing address
620 W Longden AveArcadia, CA 91007-8135
Phone 626-447-6770
Authorized official
Garrett Scott Fong
President
6262867151
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