Individual
DR. MARC PANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2626 E GAGE AVE, HUNTINGTON PARK, CA 90255-4122
(323) 587-0738
(323) 584-2596
Mailing address
2626 E GAGE AVE, HUNTINGTON PARK, CA 90255-4122
(323) 587-0738
(323) 584-2596
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54184
CA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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