Mark Panneton DDS PC

NPI #1891069043 in La Vista, Nebraska

Provider Information

NPI Number: 1891069043
Entity Type: Organization
Organization Name: Mark Panneton DDS PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 6, 2012
Last Updated: Mar 6, 2012

Practice Location

Address: 9731 GILES RD
City: La Vista
State: Nebraska
ZIP Code: 68128-2930
Phone: (402) 537-4620

Authorized Official

Name: MARK J PANNETON, DDS
Title: OWNER
Phone: (402) 537-4620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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