Organization
NELSON PAN DDS DEBRA HONG PAN DMD MS LLC
Active
Other names
Nelson Pan DDS Debra Hong Pan DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON PAN DDS (MANAGER)
(781) 665-5190
Entity
Organization
Contact information
Practice address
985 MAIN ST, MELROSE, MA 02176-1913
(781) 665-5190
(781) 979-0682
Mailing address
985 MAIN ST, MELROSE, MA 02176-1913
(781) 665-5190
(781) 979-0682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16133
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86256
UNITED CONCORDIA
MA
01
—
XO5663
BCBS
MA
Enumeration date
11/01/2006
Last updated
08/22/2020
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