Shane Ray Panter, DDS

NPI #1073633863 in Roseville, California

Provider Information

NPI Number
1073633863
Entity Type
Individual
Name
Shane Ray Panter, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1420 E ROSEVILLE PKWY
Address 2
#220
ZIP Code
95661-3078
Phone
(916) 773-1977

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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