Most Relevant Information
Provider Data
| NPI Number: | 1003416454 |
| Provider Name: | HSINYUAN FAN DDS, MDS, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | DE61109734 |
Most Important Dates
| Enumeration Date: | 10/27/2020 |
| Last Updated: | 10/27/2020 |
Provider Practice Location
500 108TH AVE NE STE 1710
BELLEVUE
WA
980045598
Practice Location Phone/Fax
| Phone: | 8884901421 |
| Fax: |
Provider Mailing Location
500 108TH AVE NE STE 1710
BELLEVUE
WA
980045598
Provider Mailing Phone/Fax
| Phone: | 8884901421 |
| Fax: |