Organization
PANOS DENTISTRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST PANOS DDS (ORTHODONTIST)
(773) 577-2100
Entity
Organization
Contact information
Practice address
4849 N MILWAUKEE AVE STE 103, CHICAGO, IL 60630-2171
(773) 577-2100
Mailing address
4849 N MILWAUKEE AVE STE 103, CHICAGO, IL 60630-2171
(773) 577-2100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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