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Kenneth Fan, D.D.S
NPI 1588986566 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1110 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236 - Phone
- (210) 539-7866
Registry record
- Primary taxonomy
- 1223X2210X
1223X2210X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas