Fong, Teresa L

Fong, Teresa L is an individual health care provider with primary practice located at 1021 Bandana Blvd E Suite 121, Saint Paul MN 55108-5113. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Fong, Teresa L can be contacted via phone (651) 224-4969.

Contact Information

Primary practice address
1021 Bandana Blvd E Suite 121 Saint Paul MN 55108-5113
Fax: (651) 223-8047
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X A10279 Minnesota

Profile Details

NPI number 1215904008
LBN Legal business name Fong, Teresa L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Oct 5th, 2016 - about 8 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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