JACK FAN

AUSTIN, TX
NPI1831455955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  28806)
Enumeration Date2012-04-03
Last Update Date2016-11-09
Business Address
-- JACK FAN DDS
4301 W WILLIAM CANNON DR BLDG B, SUITE 240
AUSTIN, TX 78749-1473
Phone number: 512-892-7800
Mailing Address
-- JACK FAN DDS
4301 W WILLIAM CANNON DR BLDG B, SUITE 240
AUSTIN, TX 78749-1473
Phone number: 512-892-7800
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