Jieru Pan Dds A Professional Corp. | |
1818 Sierra Leone Ave. Suite C Rowland Heights CA 91748 | |
(626) 581-9152 | |
(626) 581-9155 |
Full Name | Jieru Pan Dds A Professional Corp. |
---|---|
Speciality | Dentist |
Location | 1818 Sierra Leone Ave., Rowland Heights, California |
Authorized Official Name and Position | Jieru Pan (CEO) |
Authorized Official Contact | 3104849154 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jieru Pan Dds A Professional Corp. 1818 Sierra Leone Ave. Suite C Rowland Heights CA 91748 Ph: (626) 581-9152 | Jieru Pan Dds A Professional Corp. 1818 Sierra Leone Ave. Suite C Rowland Heights CA 91748 Ph: (626) 581-9152 |
NPI Number | 1902182041 |
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Provider Enumeration Date | 11/02/2011 |
Last Update Date | 11/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902182041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 51123 (California) | Primary |
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