Individual
KATELYN PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
985 MAIN ST, MELROSE, MA 02176-1913
(781) 665-5190
Mailing address
94 LARCHMONT RD, MELROSE, MA 02176-2503
(617) 548-8730
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1859176
MA
Other
Enumeration date
07/09/2021
Last updated
07/27/2023
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