Individual provider · Type 1 NPI
Raymond Fan, DDS
Oral and Maxillofacial Surgery (Dentist) · Chino, CA
NPI number
1962938522
Active · reactivated Jul 3, 2018
Practice location
12860 10th St
Chino, CA 91710-4294
Mailing address
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Other practice locations
- 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 · (954) 355-4400
- 1500 S Main St, Fort Worth, TX 76104-4917 · (817) 702-1173
- 12218 Apple Valley Rd Ste 110, Apple Valley, CA 92308-1704 · (760) 300-3678
- 2800 Coors Blvd NW Ste A, Albuquerque, NM 87120-1204 · (505) 352-1166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DD5682 (NM) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DDS104689 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Chino
About NPI 1962938522
Raymond Fan, DDS's National Provider Identifier is 1962938522, issued on May 2, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chino, CA. The record was last updated on Oct 18, 2023.