| Kenneth Fan, DDS | |
|
1110 Wilford Hall Loop, Jbsa Lackland Afb, TX 78236 | |
| (210) 539-7866 | |
| Not Available |
| Full Name | Kenneth Fan |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orofacial Pain |
| Location | 1110 Wilford Hall Loop, Jbsa Lackland Afb, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588986566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | DDS61109 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Fan, DDS 1110 Wilford Hall Loop, Jbsa Lackland Afb, TX 78236 Ph: () - | Kenneth Fan, DDS 1110 Wilford Hall Loop, Jbsa Lackland Afb, TX 78236 Ph: (210) 539-7866 |
Dr. Jessica Rose White Harvey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland Afb, TX 78236 Phone: 210-292-0123 | |
Dr. Adam Mucci, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland Afb, TX 78236 Phone: 929-335-4123 | |
Dr. Duy Quoc Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland Afb, TX 78236 Phone: 210-292-8626 |