Individual
DR. CHARLES HENRY PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27020 PACIFIC HWY S, #C, KENT, WA 98032-6902
(253) 529-9434
(253) 529-1286
Mailing address
27020 PACIFIC HWY S, #C, KENT, WA 98032-6902
(253) 529-9434
(253) 529-1286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5022967
—
WA
Enumeration date
08/14/2006
Last updated
07/09/2007
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