Fan, Raymond

Fan, Raymond is an individual health care provider with primary practice located at 12860 10Th St , Chino CA 91710-4294. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Fan, Raymond can be contacted via phone (909) 591-0241.

Contact Information

Primary practice address
12860 10Th St Chino CA 91710-4294
Phone: (909) 591-0241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DD5682 New Mexico
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DDS104689 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1962938522
LBN Legal business name Fan, Raymond
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2017
Last updated Oct 18th, 2023 - about 3 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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