Individual
DR. VIVIAN HANBING FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, PHD
Contact information
Practice address
45 W WILLIAMSBURG RD, SANDSTON, VA 23150-2040
(804) 737-8777
(804) 737-8799
Mailing address
1616 SWANSBURY DR, RICHMOND, VA 23238-4628
(804) 737-8777
(804) 658-1158
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411621
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20163
MA
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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