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1205931755
TERRENCE T. FAN
PHILADELPHIA, PA
NPI
1205931755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: PA DS-030933-L)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
DR. TERRENCE T. FAN D.M.D
821 S 9TH ST
PHILADELPHIA, PA 19147-2822
Phone number: 215-629-0599
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Mailing Address
DR. TERRENCE T. FAN D.M.D
821 S 9TH ST
PHILADELPHIA, PA 19147-2822
Phone number: 215-629-0599
Copy
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