| NPI | 1609535764 |
|---|---|
| Doing Business As | RONG PAN, D.D.S., INC. |
| Entity Type | Organization |
| Authorized Contact | YI WANG President 408-255-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |