DR. Jason Liddell Pan, DMD
NPI #1508423591 in Melrose, Massachusetts
Provider Information
- NPI Number
- 1508423591
- Entity Type
- Individual
- Name
- DR. Jason Liddell Pan, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- May 24, 2019
- Last Updated
- Aug 26, 2020
Practice Location
- Address
- 985 MAIN ST
- City
- Melrose
- State
- Massachusetts
- ZIP Code
- 02176-1913
- Phone
- (781) 665-5190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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