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Individual

DR. DIANNE D PANNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
136 BROADWAY, NEWPORT, RI 02840-2748
(401) 846-3801
Mailing address
136 BROADWAY, NEWPORT, RI 02840-2748
(401) 846-3801

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03266
RI
332B00000X
Durable Medical Equipment & Medical Supplies
03266
RI

Other

Enumeration date
08/08/2006
Last updated
09/24/2019
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