Individual
RAYMOND PANCHO PANALIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
311 SW WATER ST STE 305, PEORIA, IL 61602-4112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033244
IL
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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