Individual
DR. KYLE MATTHEW PANNEBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2891 INDUSTRIAL PARK RD STE 3, MIFFLINTOWN, PA 17059-9077
(717) 436-8238
Mailing address
810 JOHNSTOWN RD, MIFFLINTOWN, PA 17059-8526
(717) 695-1884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042682
PA
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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