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Organization
JAMES FANG, D.D.S., INC.
Active
Organization
JAMES FANG, D.D.S., INC.
Active
Other names
Star Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JURIE DU FANG D.D.S. (CORPORATE SECRETARY, DENTIST)
(626) 965-2521
Entity
Organization
Contact information
Practice address
18750 COLIMA RD STE A1, ROWLAND HEIGHTS, CA 91748-2962
(626) 965-2521
Mailing address
18750 COLIMA RD STE A1, ROWLAND HEIGHTS, CA 91748-2962
(626) 965-2521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G91417-02
DENTI-CAL BILLING PIN
CA
Enumeration date
05/16/2007
Last updated
08/22/2020
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