THERESA C FAN

MANHASSET, NY
NPI1306921820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  0519371)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
Dr. THERESA C FAN D.D.S.
400 COMMUNITY DR
MANHASSET, NY 11030-3815
Phone number: 516-562-4525
Mailing Address
Dr. THERESA C FAN D.D.S.
10 SICARDI CT
CARLE PLACE, NY 11514-1704
Phone number: 516-997-7461
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