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Organization
TED Y.T. FANG DDS, APC
Active
Organization
TED Y.T. FANG DDS, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED YAO-TE FANG DDS (PRESIDENT)
(661) 947-6201
Entity
Organization
Contact information
Practice address
39178 10TH ST W, SUITE C, PALMDALE, CA 93551-3767
(661) 947-6201
(661) 947-4136
Mailing address
39178 10TH ST W, SUITE C, PALMDALE, CA 93551-3767
(661) 947-6201
(661) 947-4136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45458
CA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/16/2011
Last updated
07/25/2011
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