DR. Jonathan Fan, DMD
NPI #1033348776 in Freehold, New Jersey
Provider Information
- NPI Number
- 1033348776
- Entity Type
- Individual
- Name
- DR. Jonathan Fan, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jul 2, 2009
- Last Updated
- Dec 27, 2018
Practice Location
- Address
- 108 VILLAGE CENTER DR FL 2
- City
- Freehold
- State
- New Jersey
- ZIP Code
- 07728-2510
- Phone
- (732) 780-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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