Individual
DR. JOE J PANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2824 N POWER RD STE 108, MESA, AZ 85215-1673
(480) 641-4567
(480) 807-9982
Mailing address
2824 N POWER RD STE 108, MESA, AZ 85215-1673
(480) 641-4567
(480) 807-9982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4359
LICENSE NUMBER
AZ
Enumeration date
04/10/2019
Last updated
04/10/2019
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