Organization
RONG PAN, D.D.S., INC.
Active
Other names
Rong Pan, D.D.S., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
YI WANG (PRESIDENT)
(408) 255-0033
Entity
Organization
Contact information
Practice address
5150 GRAVES AVE STE 11D, SAN JOSE, CA 95129-5014
(408) 255-0033
Mailing address
18180 SAGE CT, SARATOGA, CA 95070-4500
(408) 255-0001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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