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Organization
PANLILIO DENTAL PRACTICE CORPORATION
Active
Organization
PANLILIO DENTAL PRACTICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY PANLILIO DMD (DENTIST)
(831) 224-3924
Entity
Organization
Contact information
Practice address
1249 FREMONT BLVD STE B, SEASIDE, CA 93955-5754
(831) 392-1888
(831) 392-0188
Mailing address
1249 FREMONT BLVD STE B, SEASIDE, CA 93955-5754
(831) 392-1888
(831) 392-0188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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