Individual
DR. ANDY PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
190 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 855-1007
Mailing address
190 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 855-1007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN28062
FL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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