| Ted Y.t. Fang Dds, Apc | |
|
39178 10th St W Suite C Palmdale CA 93551-3767 | |
| (661) 947-6201 | |
| (661) 947-4136 |
| Full Name | Ted Y.t. Fang Dds, Apc |
|---|---|
| Speciality | Dentist |
| Location | 39178 10th St W, Palmdale, California |
| Authorized Official Name and Position | Ted Yao-te Fang (PRESIDENT) |
| Authorized Official Contact | 6619476201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ted Y.t. Fang Dds, Apc 39178 10th St W Suite C Palmdale CA 93551-3767 Ph: (661) 947-6201 | Ted Y.t. Fang Dds, Apc 39178 10th St W Suite C Palmdale CA 93551-3767 Ph: (661) 947-6201 |
| NPI Number | 1114226172 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114226172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45458 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |