Anthony S. Pan, D.m.d., Inc. | |
9328 Garvey Ave Suite A South El Monte CA 91733-4602 | |
(626) 350-0588 | |
(626) 350-0989 |
Full Name | Anthony S. Pan, D.m.d., Inc. |
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Speciality | Dentist - General Practice |
Location | 9328 Garvey Ave, South El Monte, California |
Authorized Official Name and Position | Anthony Sung-en Pan (OWNER) |
Authorized Official Contact | 6263500588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anthony S. Pan, D.m.d., Inc. 9328 Garvey Ave Suite A South El Monte CA 91733-4602 Ph: (626) 350-0588 | Anthony S. Pan, D.m.d., Inc. 9328 Garvey Ave Suite A South El Monte CA 91733-4602 Ph: (626) 350-0588 |
NPI Number | 1396189114 |
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Provider Enumeration Date | 04/23/2013 |
Last Update Date | 04/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396189114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 59548 (California) | Primary |
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