Individual
PATRICIA J PANUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
1730 MANHATTAN BEACH BLVD, SUITE B, MANHATTAN BEACH, CA 90266-6224
(310) 379-0006
(310) 379-7051
Mailing address
1730 MANHATTAN BEACH BLVD, SUITE B, MANHATTAN BEACH, CA 90266-6224
(310) 379-0006
(310) 379-7051
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51124
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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