JACK ZHONGXU FAN

APO, AA
NPI1730070863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  14224225-9926)
Enumeration Date2025-07-15
Last Update Date2025-08-14
Business Address
DR. JACK ZHONGXU FAN DMD
FORT EISENHOWER DENTAC BLDG 38717
APO, AA 30905
Phone number: 801-647-5392
Mailing Address
DR. JACK ZHONGXU FAN DMD
25501 BRAINARD AVENUE
FORT EISENHOWER, GA 30905
Phone number:
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