Organization · Type 2 NPI

Mark Panneton DDS PC

Dental Clinic/Center · La Vista, NE

NPI number 1891069043 Active

Practice location

9731 Giles Rd
La Vista, NE 68128-2930

Fax (402) 537-4346

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X5527 (NE)

Dental Clinic/Center: Definition to come...

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About NPI 1891069043

Mark Panneton DDS PC's National Provider Identifier is 1891069043, issued on Mar 6, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in La Vista, NE. The record was last updated on Mar 6, 2012.