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1487644142
WEI FAN
FLUSHING, NY
NPI
1487644142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 047393)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
-- WEI FAN DMD
13987 35TH AVE L#2
FLUSHING, NY 11354-3551
Phone number: 718-886-6675
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Mailing Address
-- WEI FAN DMD
13987 35TH AVE L#2
FLUSHING, NY 11354-3551
Phone number: 718-886-6675
Copy
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