Individual
DR. VICTOR S. C. FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3958 ATLANTIC AVE, LONG BEACH, CA 90807-3502
(562) 424-1153
(562) 424-4445
Mailing address
3958 ATLANTIC AVE, LONG BEACH, CA 90807-3502
(562) 424-1153
(562) 424-4445
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
34092
CA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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