Organization
MARC PANA PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC PANA D.D.S., M.S. (ORTHODONTIST/ PRESIDENT)
(310) 435-5622
Entity
Organization
Contact information
Practice address
6 HUGHES, SUITE 100, IRVINE, CA 92618-2059
(877) 358-3915
(949) 680-1881
Mailing address
6 HUGHES, SUITE 100, IRVINE, CA 92618-2059
(877) 358-3915
(949) 680-1881
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043368517
PERSONAL NPI
CA
Enumeration date
12/07/2007
Last updated
07/31/2008
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