QIAO FANG

CHICAGO, IL
NPI1164123642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-033057)
Enumeration Date2023-03-13
Last Update Date2023-03-13
Business Address
Dr. QIAO FANG DDS
801 S PAULINA ST
CHICAGO, IL 60612-7210
Phone number: 312-355-0435
Mailing Address
Dr. QIAO FANG DDS
1922 W OGDEN AVE UNIT 1202
CHICAGO, IL 60612-5585
Phone number: 909-312-8582
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