MARK PANNETON DDS PC

LA VISTA, NE
NPI1891069043
Entity TypeOrganization
Authorized ContactMARK J PANNETON
Owner
402-537-4620
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: NE  5527)
Enumeration Date2012-03-06
Last Update Date2012-03-06
Business Address
MARK PANNETON DDS PC
9731 GILES RD
LA VISTA, NE 68128-2930
Phone number: 402-537-4620
Mailing Address
MARK PANNETON DDS PC
9731 GILES RD
LA VISTA, NE 68128-2930
Phone number: 402-537-4620
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