Individual
DR. OMAR ALEJANDRO PANOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 ACME ST, MARIETTA, OH 45750-3306
(740) 373-3136
Mailing address
14037 NW 88TH PL, MIAMI LAKES, FL 33018-7343
(305) 900-0873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27374
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2020
Last updated
07/28/2022
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