Organization
DR. PANESAR
Active
Other names
Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PALWINDER KAUR PANESAR DDS (DOCTOR)
(207) 473-7723
Entity
Organization
Contact information
Practice address
207 MAIN ST, FORT FAIRFIELD, ME 04742-1120
(207) 473-7723
Mailing address
207 MAIN ST, FORT FAIRFIELD, ME 04742-1120
(207) 473-7723
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3510
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710921945
NPI TYPE 1
ME
01
—
MAINECARE
133590000
ME
Enumeration date
05/10/2007
Last updated
07/17/2008
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