Individual
DR. ALLAN Y. PANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1508 ASTER CT, CUPERTINO, CA 95014-5213
(617) 913-2544
Mailing address
1508 ASTER CT, CUPERTINO, CA 95014-5213
(617) 913-2544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
58451
CA
1223P0221X
Pediatric Dentistry
Primary
58451
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2009
Last updated
07/11/2013
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