SIUMAN FAN

SAN DIEGO, CA
NPI1811070295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  36241)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
Dr. SIUMAN FAN D.D.S.
2020 CAMINO DEL RIO N 101
SAN DIEGO, CA 92108-1541
Phone number: 619-692-4310
Mailing Address
Dr. SIUMAN FAN D.D.S.
12262 GINSTAR CT
SAN DIEGO, CA 92131-3841
Phone number: 858-536-9848