# WEN S. FAN DMD, MD AND CHENG DDS, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cupertino Oral Surgery & Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699044065
- **Authorized official:** DR. WEN FAN DMD, MD (PRESIDENT)
- **Authorized official phone:** (408) 517-0985

## Contact information

- **Practice address:** 20530 TOWN CENTER LN, CUPERTINO, CA 95014-3200
- **Practice address phone:** (408) 517-0985
- **Practice address fax:** (408) 517-8861
- **Mailing address:** 20530 TOWN CENTER LN, CUPERTINO, CA 95014-3200
- **Mailing address phone:** (408) 517-0985
- **Mailing address fax:** (408) 517-8861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | CA | Yes |

## Other

- **Enumeration date:** 12/14/2011
- **Last updated:** 12/14/2011