# HONGYING PAN DDS PHD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellborn dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972287332
- **Authorized official:** HONGYING PAN DDS (OWNER)
- **Authorized official phone:** (617) 806-6652

## Contact information

- **Practice address:** 22526 SE 64TH PL STE 110, ISSAQUAH, WA 98027-5368
- **Practice address phone:** (425) 427-1850
- **Mailing address:** 22526 SE 64TH PL STE 110, ISSAQUAH, WA 98027-5368
- **Mailing address phone:** (425) 427-1850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 06/14/2023