DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CLARK L. FONG, DDS, A PROFESSIONAL DENTAL CORPORATION

Active Organization

DR. CLARK L. FONG, DDS, A PROFESSIONAL DENTAL CORPORATION is a Dentist organization located in SAN MATEO, California. NPI 1578803268 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN MATEO, CA

Registration Details

NPI Number
1578803268
Provider Type
Organization
NPI Issued
Feb 18, 2013 (13.478737131975 yrs)
Last Updated
Feb 18, 2013
License
40351 (CA)

Practice Information

Address
401A N SAN MATEO DR
SAN MATEO, CA, 944012417
Browse CA providers · Browse ZIP 94401
Phone
6503447626
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.