institution
Wen Ta Fan Dds Pc
Dental Clinic/Center in Flushing, New York
NPI 1972521888

Wen Ta Fan Dds Pc is a Dental Clinic/Center based in Flushing, NY and is specialized in Dental. Wen Ta Fan Dds Pc practices in Flushing, NY. The NPI Number for Wen Ta Fan Dds Pc is 1972521888 and holds a License No. 047296 (New York).

The current practice location address for Wen Ta Fan Dds Pc is 4231 Colden St Ste 204, Flushing, NY and can be reached out via phone at 718-539-9130 and via fax at 718-539-9180.

Location: 4231 Colden St Ste 204, Flushing, NY, 11355-3981
institution
Provider Profile Details
NPI Number
1972521888
Provider Name
Wen Ta Fan Dds Pc
Credential
Provider Entity Type
Organization
Address
4231 Colden St Ste 204, Flushing, NY, 11355-3981
Phone Number
718-539-9130
Fax Number
718-539-9180
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02756412 05 NY
institution
Provider Business Practice Location Address Details
Address
4231 Colden St Ste 204
City
State
Zip
11355-3981
Phone Number
718-539-9130
Fax Number
718-539-9180
person
Provider Business Mailing Address Details
Address
4231 Colden St Ste 204
City
State
Zip
11355-3981
Phone Number
718-539-9130
Fax Number
718-539-9180
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
047296 (New York)
Definition
Definition to come...
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