Individual
DR. JOHN ANDREW PANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PLC
Contact information
Practice address
45 TIMBER LANE, SOUTH BURLINGTON, VA 05403
(802) 862-3685
Mailing address
45 TIMBER LANE, SOUTH BURLINGTON, VA 05403
(802) 862-3685
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
993VT
VT
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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