Individual
FAN YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 FAIR RIDGE DR STE 105, FAIRFAX, VA 22033-2917
(703) 865-6276
Mailing address
4001 FAIR RIDGE DR STE 105, FAIRFAX, VA 22033-2917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413342
VA
Other
Enumeration date
06/24/2009
Last updated
04/20/2015
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