Organization · Type 2 NPI
Rong Pan, D.d.s., Inc.
Dental Clinic/Center · San Jose, CA
NPI number
1609535764
Active
Practice location
5150 Graves Ave Ste 11D
San Jose, CA 95129-5014
Mailing address
18180 Sage Ct
Saratoga, CA 95070-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1609535764
Rong Pan, D.d.s., Inc.'s National Provider Identifier is 1609535764, issued on Dec 15, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Jose, CA. The record was last updated on Dec 15, 2021.