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1336595057
YIJIAO FAN
FLUSHING, NY
NPI
1336595057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: NY 062596)
Enumeration Date
2016-05-11
Last Update Date
2022-08-13
Business Address
DR. YIJIAO FAN DDS
14238 37TH AVE STE 1G
FLUSHING, NY 11354-4580
Phone number: 347-943-1960
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Mailing Address
DR. YIJIAO FAN DDS
14238 37TH AVE STE 1G
FLUSHING, NY 11354-4580
Phone number: 347-943-1960
Copy
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