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1497806582
FAN MOU
NEW YORK, NY
NPI
1497806582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NY 052212)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
DR. FAN MOU D.D.S
128 MOTT ST SUITE 203
NEW YORK, NY 10013-5540
Phone number: 212-965-8113
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Mailing Address
DR. FAN MOU D.D.S
560 RIVERSIDE DR APT #5G
NEW YORK, NY 10027-3202
Phone number: 917-526-2946
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