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Organization

WEN S. FAN DMD, MD AND CHENG DDS, MD

Active
Other names
Cupertino Oral Surgery & Dental Implants
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WEN FAN DMD, MD (PRESIDENT)
(408) 517-0985
Entity
Organization

Contact information

Practice address
20530 TOWN CENTER LN, CUPERTINO, CA 95014-3200
(408) 517-0985
(408) 517-8861
Mailing address
20530 TOWN CENTER LN, CUPERTINO, CA 95014-3200
(408) 517-0985
(408) 517-8861

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
CA

Other

Enumeration date
12/14/2011
Last updated
12/14/2011
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