Organization
CEDAR PARK A PLUS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUN-YU FAN DDS (MANAGING MEMBER)
(408) 768-7098
Entity
Organization
Contact information
Practice address
120 S LAKELINE BLVD BLDG 1-130, CEDAR PARK, TX 78613-2767
(408) 673-0956
Mailing address
120 S LAKELINE BLVD BLDG 1-130, CEDAR PARK, TX 78613-2767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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