Individual
DR. PETER JOSEPH PANTANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
955 MAIN ST, SUITE 201, WINCHESTER, MA 01890-1961
(781) 729-5041
Mailing address
955 MAIN ST, SUITE 201, WINCHESTER, MA 01890-4302
(781) 729-5041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15556
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X05442
BLUE CROSS OF MA
MA
Enumeration date
01/23/2006
Last updated
07/08/2007
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