Individual
FAN ZHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13401 BEL RED RD STE A6, BELLEVUE, WA 98005-2322
(425) 643-8504
Mailing address
13401 BEL RED RD STE A6, BELLEVUE, WA 98005-2322
(425) 643-8504
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
025103
WA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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