Stephanie Fang
NPI #1235817842 in Revere, Massachusetts
Provider Information
- NPI Number
- 1235817842
- Entity Type
- Individual
- Name
- Stephanie Fang
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 5, 2023
- Last Updated
- Aug 14, 2024
Practice Location
- Address
- 339 SQUIRE RD STE 150
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-4396
- Phone
- (781) 286-7510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist |
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