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Pannu And Henne Dental Corp.

Dentist in Modesto, CA. Organization (NPI-2).

NPI number1053820522
StatusActive
Last updated in NPPESSep 27, 2017

Details

NPI
1053820522
Entity type
Organization (NPI-2)
Legal business name
Pannu And Henne Dental Corp.
Organization subpart
No
Enumeration date
Sep 27, 2017
Last updated
Sep 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Other names

  • Great Smiles Dental (Doing Business As)

Practice location

3219 Mc Henry Ave, Suite E
Modesto, CA 95350

Phone 209-409-8987 · Fax 209-322-4749

Mailing address

3219 Mc Henry Ave, Suite E
Modesto, CA 95350

Phone 209-409-8987 · Fax 209-322-4749

Authorized official

Dalvir S Pannu
Owner & Partner Dentist
4088261144

Is something wrong?

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