Individual
MARISSA PANNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 949-7263
Mailing address
305 W 12TH AVE RM 118, COLUMBUS, OH 43210-1267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027984
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/21/2025
Last updated
05/15/2025
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