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1811070295
SIUMAN FAN
SAN DIEGO, CA
NPI
1811070295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 36241)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
Dr. SIUMAN FAN D.D.S.
2020 CAMINO DEL RIO N 101
SAN DIEGO, CA 92108-1541
Phone number: 619-692-4310
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Mailing Address
Dr. SIUMAN FAN D.D.S.
12262 GINSTAR CT
SAN DIEGO, CA 92131-3841
Phone number: 858-536-9848
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