Individual
DR. ALAN PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 BRIDGE ST, CORLISS LANDING, PROVIDENCE, RI 02903-4362
(401) 861-5600
(401) 861-5603
Mailing address
16 BRIDGE ST, CORLISS LANDING, PROVIDENCE, RI 02903-4362
(401) 861-5600
(401) 861-5603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02912
RI
1223G0001X
General Practice Dentistry
21064
MA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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