Organization · Type 2 NPI
Wen Ta Fan DDS PC
Dental Clinic/Center · Flushing, NY
NPI number
1972521888
Active
Practice location
4231 Colden St Ste 204
Flushing, NY 11355-3981
Fax (718) 539-9180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 047296 (NY) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1972521888
Wen Ta Fan DDS PC's National Provider Identifier is 1972521888, issued on Jul 18, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Flushing, NY. The record was last updated on Aug 22, 2020.