Provider Demographics
NPI:1336969898
Name:SEOKJOON PANG DDS, INC
Entity type:Organization
Organization Name:SEOKJOON PANG DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SEOKJOON
Authorized Official - Middle Name:
Authorized Official - Last Name:PANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-899-7339
Mailing Address - Street 1:133 ARCH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1326
Mailing Address - Country:US
Mailing Address - Phone:650-549-1155
Mailing Address - Fax:650-549-6080
Practice Address - Street 1:133 ARCH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1326
Practice Address - Country:US
Practice Address - Phone:650-549-1155
Practice Address - Fax:650-549-6080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental