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Dr. WEN S FAN -- DMD, MD

Individual Provider (NPI-1) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1164645750
Provider Type
Individual Provider (NPI-1)
Credentials
DMD, MD
Status
Active

Contact & Location

Address
2039 FOREST AVE STE 306, SAN JOSE, CA, 951284830
Phone
(408) 298-7775

Specialties & Taxonomies

Dentist License: CA #52603
Dentist, Oral and Maxillofacial Surgery Primary License: CA #52603

All Addresses

LOCATION

2039 FOREST AVE STE 306

SAN JOSE, CA, 951284830

(408) 298-7775

MAILING

1235 BROCKTON AVE #206

LOS ANGELES, CA, 900251344

(310) 770-5498