Fan, Wen S

Fan, Wen S is an individual health care provider with primary practice located at 2039 Forest Ave Ste 306 , San Jose CA 95128-4830. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Fan, Wen S can be contacted via phone (408) 298-7775.

Contact Information

Primary practice address
2039 Forest Ave Ste 306 San Jose CA 95128-4830
Phone: (408) 298-7775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 52603 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 52603 California

Profile Details

NPI number 1164645750
LBN Legal business name Fan, Wen S
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated May 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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