| K. Fan D.d.s., Inc. | |
|
2176 S Atlantic Blvd Monterey Park CA 91754-6839 | |
| (323) 888-0681 | |
| Not Available |
| Full Name | K. Fan D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2176 S Atlantic Blvd, Monterey Park, California |
| Authorized Official Name and Position | Kevin Fan (OWNER DENTIST) |
| Authorized Official Contact | 6268211000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K. Fan D.d.s., Inc. 491 W Longden Ave Arcadia CA 91007-8132 Ph: (626) 821-1000 | K. Fan D.d.s., Inc. 2176 S Atlantic Blvd Monterey Park CA 91754-6839 Ph: (323) 888-0681 |
| NPI Number | 1518424746 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 02/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518424746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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