SHANE RAY PANTER

ROSEVILLE, CA
NPI1073633863
Professional NameSHANE RAY PANTER
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  36324)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- SHANE RAY PANTER DDS
1420 E ROSEVILLE PKWY #220
ROSEVILLE, CA 95661-3078
Phone number: 916-773-1977
Mailing Address
-- SHANE RAY PANTER DDS
1420 E ROSEVILLE PKWY #220
ROSEVILLE, CA 95661-3078
Phone number: 916-773-1977