Individual
DR. EILEEN K PANACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1900 LATHROP AVE, RACINE, WI 53405
(262) 632-0719
(262) 632-1007
Mailing address
1900 LATHROP AVE, RACINE, WI 53405
(262) 632-0719
(262) 632-1007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2760
WI
Other
Enumeration date
07/26/2006
Last updated
04/12/2011
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