SearchVirginia1223E0200X

Fucong Tian, BDS, PHD

NPI 1992295646 · on the registry since 2018

Practice

Address
12040 W Broad Street
Henrico, VA 23233
Phone
(804) 364-7010
Fax
(706) 721-6778
Clinicians at this address
7

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
1223E0200X
1223E0200X
1223E0200X
Licence states on file
WA, TX, GA, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-09

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 Virginia