DR. Ricky Pan, D.M.D.

NPI #1982091153 in Oldsmar, Florida

Provider Information

NPI Number: 1982091153
Entity Type: Individual
Name: DR. Ricky Pan, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Apr 24, 2015
Last Updated: Feb 6, 2020

Practice Location

Address: 190 PINE AVE N
City: Oldsmar
State: Florida
ZIP Code: 34677-4629
Phone: (813) 855-1007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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