# PACIFIC HIGHWAY DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285951327
- **Authorized official:** DR. CHARLES HENRY PAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (253) 529-9434

## Contact information

- **Practice address:** 27020 PACIFIC HWY S, SUITE C, KENT, WA 98032-6951
- **Practice address phone:** (253) 529-9434
- **Mailing address:** 27020 PACIFIC HWY S, SUITE C, KENT, WA 98032-6951
- **Mailing address phone:** (253) 529-9434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00007305 | WA | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 04/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5022967 | — | WA |