Provider Demographics
NPI:1427124528
Name:PAN, YINGHUI (DDS)
Entity type:Individual
Prefix:MISS
First Name:YINGHUI
Middle Name:
Last Name:PAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:PAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8060 SANTA TERESA BLVD
Mailing Address - Street 2:#120
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-3867
Mailing Address - Country:US
Mailing Address - Phone:408-846-8899
Mailing Address - Fax:408-847-0008
Practice Address - Street 1:8060 SANTA TERESA BLVD
Practice Address - Street 2:#120
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-3867
Practice Address - Country:US
Practice Address - Phone:408-846-8899
Practice Address - Fax:408-847-0008
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA453061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice