Organization
PANUCCI & JACKFERT ORTHODONTICS, INC.
Active
Other names
Panucci & Jackfert, DDS, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA LYNN PANUCCI DDS (PRESIDENT)
(304) 744-6311
Entity
Organization
Contact information
Practice address
133 7TH AVE, SOUTH CHARLESTON, WV 25303-1417
(304) 744-6311
(304) 744-8832
Mailing address
133 7TH AVE, SOUTH CHARLESTON, WV 25303-1417
(304) 744-6311
(304) 744-8832
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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