JINGYUAN FAN

DOWNERS GROVE, IL
NPI1952718629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NY  000054)
Enumeration Date2014-07-15
Last Update Date2016-08-20
Business Address
-- JINGYUAN FAN DDS
3450 LACEY ROAD
DOWNERS GROVE, IL 60515-2668
Phone number: 630-743-4967
Mailing Address
-- JINGYUAN FAN DDS
3450 LACEY ROAD
DOWNERS GROVE, IL 60515-2668
Phone number: 630-743-4967
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