Organization
OCEAN SHADES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN PAN DMD (DENTIST /OWNER)
(617) 834-3956
Entity
Organization
Contact information
Practice address
230 LAFAYETTE RD STE C, PORTSMOUTH, NH 03801-5465
(603) 436-7325
Mailing address
230 LAFAYETTE RD STE C, PORTSMOUTH, NH 03801-5465
(603) 436-7325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03618
NH
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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