| Mark Panneton Dds Pc | |
|
9731 Giles Rd La Vista NE 68128-2930 | |
| (402) 537-4620 | |
| (402) 537-4346 |
| Full Name | Mark Panneton Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9731 Giles Rd, La Vista, Nebraska |
| Authorized Official Name and Position | Mark J Panneton (OWNER) |
| Authorized Official Contact | 4025374620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Panneton Dds Pc 9731 Giles Rd La Vista NE 68128-2930 Ph: (402) 537-4620 | Mark Panneton Dds Pc 9731 Giles Rd La Vista NE 68128-2930 Ph: (402) 537-4620 |
| NPI Number | 1891069043 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 03/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891069043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5527 (Nebraska) | Primary |
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