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Organization
PANNU AND HENNE DENTAL CORP.
Active
Organization
PANNU AND HENNE DENTAL CORP.
Active
Other names
Great Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALVIR S PANNU DDS (OWNER & PARTNER DENTIST)
(408) 826-1144
Entity
Organization
Contact information
Practice address
3219 MC HENRY AVE, SUITE E, MODESTO, CA 95350
(209) 409-8987
(209) 322-4749
Mailing address
3219 MC HENRY AVE, SUITE E, MODESTO, CA 95350
(209) 409-8987
(209) 322-4749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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