DR. WEN FAN, DMD, MD

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1164645750

Practice Address

2039 FOREST AVE STE 306
San Jose, CA 95128

Phone: (408) 298-7775

Specialties

Specialty Code Primary License
Dentist 122300000X No 52603 (CA)
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 52603 (CA)

Frequently Asked Questions

NPI 1164645750 is the National Provider Identifier for DR. WEN FAN, DMD, MD, a Dentist - Oral and Maxillofacial Surgery provider located in San Jose, CA. This NPI was enumerated on April 11, 2007.
DR. WEN FAN, DMD, MD practices at 2039 FOREST AVE STE 306, San Jose, CA 95128.

Quick Facts

NPI
1164645750
Type
Individual
Enumerated
Apr 11, 2007
Last Updated
May 3, 2009

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