DR. Charles Henry Pan, DDS

NPI #1902819980 in Kent, Washington

Provider Information

NPI Number: 1902819980
Entity Type: Individual
Name: DR. Charles Henry Pan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 14, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 27020 PACIFIC HWY S
Address 2: #C
City: Kent
State: Washington
ZIP Code: 98032-6902
Phone: (253) 529-9434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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