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Organization
HONGYING PAN DDS PHD PLLC
Active
Organization
HONGYING PAN DDS PHD PLLC
Active
Other names
Wellborn dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
HONGYING PAN DDS (OWNER)
(617) 806-6652
Entity
Organization
Contact information
Practice address
22526 SE 64TH PL STE 110, ISSAQUAH, WA 98027-5368
(425) 427-1850
Mailing address
22526 SE 64TH PL STE 110, ISSAQUAH, WA 98027-5368
(425) 427-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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