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 |