Individual provider · Type 1 NPI

Rong Pan, DDS

General Practice Dentistry · San Jose, CA

NPI number 1508886334 Active

Practice location

5150 Graves Ave, Suite 11A
San Jose, CA 95129-5013

Fax (480) 255-0027

Mailing address

PO Box 9279
San Jose, CA 95157-0279

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X45167 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1508886334

Rong Pan, DDS's National Provider Identifier is 1508886334, issued on Jul 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.