| Shi & Pan, Pllc | |
|
12305 120th Ave Ne Ste G Kirkland WA 98034-6921 | |
| (425) 588-3899 | |
| Not Available |
| Full Name | Shi & Pan, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12305 120th Ave Ne Ste G, Kirkland, Washington |
| Authorized Official Name and Position | Jiayu Shi (ORTHODONTIST) |
| Authorized Official Contact | 3108455276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shi & Pan, Pllc 1321 5th Ln Kirkland WA 98033-5667 Ph: (310) 845-5276 | Shi & Pan, Pllc 12305 120th Ave Ne Ste G Kirkland WA 98034-6921 Ph: (425) 588-3899 |
| NPI Number | 1548043284 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548043284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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