Individual
DR. AUDREY PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
227 W BADILLO ST STE #1, COVINA, CA 91723
(626) 858-6988
Mailing address
227 W BADILLO ST STE 1, COVINA, CA 91723-1972
(626) 858-6988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107969
CA
Other
Enumeration date
09/05/2022
Last updated
09/26/2022
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