| Siuman Fan Dds Inc. | |
|
2020 Camino Del Rio N 101 San Diego CA 92108-1541 | |
| (619) 692-4310 | |
| Not Available |
| Full Name | Siuman Fan Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2020 Camino Del Rio N, San Diego, California |
| Authorized Official Name and Position | Siuman Fan (PRESIDENT) |
| Authorized Official Contact | 6196924310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siuman Fan Dds Inc. 2020 Camino Del Rio N 101 San Diego CA 92108-1541 Ph: (619) 692-4310 | Siuman Fan Dds Inc. 2020 Camino Del Rio N 101 San Diego CA 92108-1541 Ph: (619) 692-4310 |
| NPI Number | 1689862484 |
|---|---|
| Provider Enumeration Date | 10/06/2007 |
| Last Update Date | 10/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689862484 | NPI | - | NPPES |
| 1811070295 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36241 (California) | Primary |
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