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Organization
RONG PAN, D.D.S., INC.
Active
Organization
RONG PAN, D.D.S., INC.
Active
Other names
Rong Pan, D.D.S., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
YI WANG (PRESIDENT)
(408) 255-0033
Entity
Organization
Contact information
Practice address
5150 GRAVES AVE STE 11D, SAN JOSE, CA 95129-5014
(408) 255-0033
Mailing address
18180 SAGE CT, SARATOGA, CA 95070-4500
(408) 255-0001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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