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1336161900
SIUHUNG FAN
LAKELAND, FL
NPI
1336161900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 10739)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Dr. SIUHUNG FAN D.D.S.
211 E LIME ST
LAKELAND, FL 33801-4607
Phone number: 863-683-4091
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Mailing Address
Dr. SIUHUNG FAN D.D.S.
211 E LIME ST
LAKELAND, FL 33801-4607
Phone number: 863-683-4091
Copy
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