Kenneth Fan, D.D.S.
NPI #1588986566 in Jbsa Lackland Afb, Texas
Provider Information
- NPI Number
- 1588986566
- Entity Type
- Individual
- Name
- Kenneth Fan, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orofacial Pain
- Credential
- D.D.S.
- Enumeration Date
- Feb 18, 2010
- Last Updated
- Aug 14, 2023
Practice Location
- Address
- 1110 WILFORD HALL LOOP
- State
- Texas
- ZIP Code
- 78236
- Phone
- (210) 539-7866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orofacial Pain — Orofacial Pain |
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