Individual
GREGORY K. AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
1690 WOODSIDE RD, SUITE 209, REDWOOD CITY, CA 94061-3497
(650) 369-2555
Mailing address
1690 WOODSIDE RD, SUITE 209, REDWOOD CITY, CA 94061-3497
(650) 369-2555
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
59088
CA
1223G0001X
General Practice Dentistry
20019
MA
1223P0221X
Pediatric Dentistry
20019
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HV0085
HARVARD PILGRIM
MA
Enumeration date
02/13/2006
Last updated
01/13/2014
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