Individual
DR. CHIH FENG JOHN FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2843 SE 17TH ST, OCALA, FL 34471-5516
(352) 732-5555
Mailing address
2843 SE 17TH ST, OCALA, FL 34471-5516
(352) 732-5555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0724599
—
FL
Enumeration date
08/15/2006
Last updated
07/08/2007
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