Individual
RAYMOND FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12860 10TH ST, CHINO, CA 91710-4294
(909) 591-0241
Mailing address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 459-2094
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DD5682
NM
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS104689
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2017
Last updated
10/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us