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Individual

DR. JASON PANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
501 5TH AVE RM 703, NEW YORK, NY 10017-7846
(212) 682-5580
Mailing address
501 5TH AVE RM 703, NEW YORK, NY 10017-7846
(212) 682-5580

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057469
NY

Other

Enumeration date
04/18/2013
Last updated
10/07/2021
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