| Willy Y Pan Dds Inc | |
|
10251 Torre Ave Suite 208 Cupertino CA 95014 | |
| (408) 996-7001 | |
| (408) 996-7017 |
| Full Name | Willy Y Pan Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 10251 Torre Ave, Cupertino, California |
| Authorized Official Name and Position | Willy Yu Cheng Pan (DENTIST PRESIDENT) |
| Authorized Official Contact | 4089967001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willy Y Pan Dds Inc 10251 Torre Ave Suite 208 Cupertino CA 95014 Ph: (408) 996-7001 | Willy Y Pan Dds Inc 10251 Torre Ave Suite 208 Cupertino CA 95014 Ph: (408) 996-7001 |
| NPI Number | 1023133303 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023133303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46918 (California) | Primary |
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