Organization
K. FAN D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN FAN DDS (OWNER DENTIST)
(626) 821-1000
Entity
Organization
Contact information
Practice address
2176 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-6839
(323) 888-0681
Mailing address
491 W LONGDEN AVE, ARCADIA, CA 91007-8132
(626) 821-1000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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