Individual
DR. TERRELL FRED PANNKUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.SC.D.
Contact information
Practice address
9 EAST PEDREGOSA STREET, SUITE B, SANTA BARBARA, CA 93101
(805) 682-0055
(805) 682-6451
Mailing address
9 EAST PEDREGOSA STREET, SUITE B, SANTA BARBARA, CA 93101
(805) 682-0055
(805) 682-6451
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
32445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U4632
—
CA
Enumeration date
05/23/2007
Last updated
09/14/2020
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