Xin Fan, DDS
Dentist, General Practice in Watsonville, CA. Individual provider (NPI-1).
NPI number1710614532
StatusActive
Last updated in NPPESAug 2, 2022
Details
- NPI
- 1710614532
- Entity type
- Individual (NPI-1)
- Name
- Xin Fan
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2022
- Certification date
- Aug 2, 2022
- Last updated
- Aug 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DDS107664 | CA | Yes |
Practice location
1895 Main StWatsonville, CA 95076-6024
Phone 831-271-3214
Mailing address
555 Pacific Ave Apt 225Santa Cruz, CA 95060-7177
Phone 858-900-8326
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