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1700095403
STEPHEN T. FAN
FREMONT, CA
NPI
1700095403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 32955)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN T. FAN D.M.D.
3618 THORNTON AVE
FREMONT, CA 94536-7400
Phone number: 510-797-2320
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Mailing Address
Dr. STEPHEN T. FAN D.M.D.
3618 THORNTON AVE
FREMONT, CA 94536-7400
Phone number: 510-797-2320
Copy
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