DR. Mary Theresa Panlilio, DMD

NPI #1598944993 in Seaside, California

Provider Information

NPI Number: 1598944993
Entity Type: Individual
Name: DR. Mary Theresa Panlilio, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 1, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 1249 FREMONT BLVD
Address 2: SUITE B
City: Seaside
State: California
ZIP Code: 93955
Phone: (831) 393-2633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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