Organization
SHEUNG L FAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEUNG L FAN (PRESIDENT)
(626) 442-4607
Entity
Organization
Contact information
Practice address
4770 PECK RD, EL MONTE, CA 91732-1300
(626) 442-4607
Mailing address
4770 PECK RD, EL MONTE, CA 91732-1300
(626) 442-4607
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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