| Jieru Pan Dds A Professional Corp. | |
|
1818 Sierra Leone Ave. Suite C Rowland Heights CA 91748 | |
| (626) 581-9152 | |
| (626) 581-9155 |
| Full Name | Jieru Pan Dds A Professional Corp. |
|---|---|
| Speciality | Dentist |
| Location | 1818 Sierra Leone Ave., Rowland Heights, California |
| Authorized Official Name and Position | Jieru Pan (CEO) |
| Authorized Official Contact | 3104849154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jieru Pan Dds A Professional Corp. 1818 Sierra Leone Ave. Suite C Rowland Heights CA 91748 Ph: (626) 581-9152 | Jieru Pan Dds A Professional Corp. 1818 Sierra Leone Ave. Suite C Rowland Heights CA 91748 Ph: (626) 581-9152 |
| NPI Number | 1902182041 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902182041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51123 (California) | Primary |
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