| NPI | 1023133303 |
|---|---|
| Former Legal Business Name | WILLY PAN DDS |
| Entity Type | Organization |
| Authorized Contact | WILLY YU CHENG PAN Dentist President 408-996-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46918) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-09-21 |