DR. Paul Pantleo

NPI #1124276159 in Bandon, Oregon

Provider Information

NPI Number: 1124276159
Entity Type: Individual
Name: DR. Paul Pantleo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Sep 3, 2008
Last Updated: Dec 3, 2012

Practice Location

Address: 1097 BALTIMORE AVE SE.
City: Bandon
State: Oregon
ZIP Code: 97411-8855
Phone: (541) 329-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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