| NPI | 1619307105 |
|---|---|
| Doing Business As | FAN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN FAN Owner 214-395-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25777) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |