Provider Demographics
NPI:1407978976
Name:PANG, DOROTHY TZE YAN (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:TZE YAN
Last Name:PANG
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:460 GOLD MINE DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2528
Mailing Address - Country:US
Mailing Address - Phone:415-826-6697
Mailing Address - Fax:415-826-6697
Practice Address - Street 1:823 TARAVAL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2428
Practice Address - Country:US
Practice Address - Phone:415-661-8383
Practice Address - Fax:415-661-8330
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA399961223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry