Pan Orthodontic Clinics | |
5101 Vernon Ave S Suite 502 Edina MN 55436-2172 | |
(952) 926-3747 | |
(952) 926-0701 |
Full Name | Pan Orthodontic Clinics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 5101 Vernon Ave S, Edina, Minnesota |
Authorized Official Name and Position | Yu Pan (PRESIDENT) |
Authorized Official Contact | 9529263747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pan Orthodontic Clinics 5101 Vernon Ave S Suite 502 Edina MN 55436-2172 Ph: (952) 926-3747 | Pan Orthodontic Clinics 5101 Vernon Ave S Suite 502 Edina MN 55436-2172 Ph: (952) 926-3747 |
NPI Number | 1396089298 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396089298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D12800 (Minnesota) | Primary |
David J Elasky Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 Parklawn Ste 101, Edina, MN 55435 Phone: 952-835-6000 Fax: 952-835-7679 | |
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