Organization
DR. PATRICIA PANUCCI
Active
Other names
Beach Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA PANUCCI D.M.D., M.S. (OWNER)
(310) 379-0006
Entity
Organization
Contact information
Practice address
1730 MANHATTAN BEACH BLVD, SUITE B, MANHATTAN BEACH, CA 90266-6220
(310) 379-0006
Mailing address
1730 MANHATTAN BEACH BLVD, SUITE B, MANHATTAN BEACH, CA 90266-6220
(310) 379-0006
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51124
CA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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