DR. Jieru Pan, DDS
NPI #1184823957 in Diamond Bar, California
Provider Information
- NPI Number
- 1184823957
- Entity Type
- Individual
- Name
- DR. Jieru Pan, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 12, 2007
- Last Updated
- May 21, 2008
Practice Location
- Address
- 22514 MOUNTAIN LAUREL WAY
- City
- Diamond Bar
- State
- California
- ZIP Code
- 91765-2522
- Phone
- (909) 861-6310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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