Individual
CHAO-YUN MELISSA FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6708 PERIMETER LOOP RD, DUBLIN, OH 43017-3214
(614) 761-2600
(614) 761-2602
Mailing address
7527 WINDSOR DR, DUBLIN, OH 43016
(614) 946-6287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2483754
—
OH
Enumeration date
04/01/2006
Last updated
06/07/2008
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