Individual
FAN ZHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1612 N CONWAY AVE, MISSION, TX 78572-4004
(956) 519-9398
Mailing address
910 E 167TH ST APT 1, BRONX, NY 10459-2316
(410) 370-4106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25147
TX
Other
Enumeration date
02/05/2010
Last updated
02/06/2015
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