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Individual

DR. YU PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S., PH.D.

Contact information

Practice address
5101 VERNON AVE S, SUITE 502, EDINA, MN 55436-2172
(952) 926-3747
(952) 926-0701
Mailing address
2650 UNIVERSITY AVE W, UNIT 102, SAINT PAUL, MN 55114-1917
(612) 618-3693

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D12800
MN

Other

Enumeration date
08/08/2012
Last updated
08/08/2012
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