Fong, Ian Shane

Fong, Ian Shane is an individual health care provider with primary practice located at 1900 N University Dr Ste 201, Pembroke Pines FL 33024-3618. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fong, Ian Shane can be contacted via phone (954) 432-8992.

Contact Information

Primary practice address
1900 N University Dr Ste 201 Pembroke Pines FL 33024-3618
Phone: (954) 432-8992
Fax: (954) 432-8843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15150 Florida

Profile Details

NPI number 1568449197
LBN Legal business name Fong, Ian Shane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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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