Fong, Peter

Fong, Peter is an individual health care provider with primary practice located at 2 Civic Center Dr., #4429 , San Rafael CA 94913-4429. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fong, Peter can be contacted via phone (415) 320-0569.

Contact Information

Primary practice address
2 Civic Center Dr., #4429 San Rafael CA 94913-4429
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 40817 California

Profile Details

NPI number 1598169534
LBN Legal business name Fong, Peter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated Jun 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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