WEN TA FAN DDS PC

FLUSHING, NY
NPI1972521888
Entity TypeOrganization
Authorized ContactWEN TA FAN
President
715-539-9130
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: NY  047296)
Enumeration Date2006-07-18
Last Update Date2020-08-22
Business Address
WEN TA FAN DDS PC
4231 COLDEN ST STE 204
FLUSHING, NY 11355-3981
Phone number: 718-539-9130
Mailing Address
WEN TA FAN DDS PC
4231 COLDEN ST STE 204
FLUSHING, NY 11355-3981
Phone number: 718-539-9130
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