Individual
BALJOT PANNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
80 ERDMAN WAY STE 201, LEOMINSTER, MA 01453-1840
(978) 840-0300
Mailing address
19-A HIGH STREET, #118, FORT ERIE, ONTARIO L2A 5-W7
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859748
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2023
Last updated
05/30/2023
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