Individual
DR. YIJIAO FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14238 37TH AVE STE 1G, FLUSHING, NY 11354-4580
(347) 943-1960
Mailing address
14238 37TH AVE STE 1G, FLUSHING, NY 11354-4580
(347) 943-1960
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
062596
NY
Other
Enumeration date
05/11/2016
Last updated
08/13/2022
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