Individual
DR. OLIVIA MINJIA PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6428 GEORGIA AVE NW, WASHINGTON, DC 20012-2910
(202) 723-0303
Mailing address
6428 GEORGIA AVE NW, WASHINGTON, DC 20012-2910
(202) 723-0303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN2000059
DC
Other
Enumeration date
06/30/2021
Last updated
07/12/2021
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