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Organization

ANTHONY S. PAN, D.M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY SUNG-EN PAN D.M.D. (OWNER)
(626) 350-0588
Entity
Organization

Contact information

Practice address
9328 GARVEY AVE, SUITE A, SOUTH EL MONTE, CA 91733-4602
(626) 350-0588
(626) 350-0989
Mailing address
9328 GARVEY AVE, SUITE A, SOUTH EL MONTE, CA 91733-4602
(626) 350-0588
(626) 350-0989

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59548
CA

Other

Enumeration date
04/23/2013
Last updated
04/23/2013
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