Individual
DR. DONNA L PANUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
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
3174
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137687000
—
WV
Enumeration date
09/20/2006
Last updated
07/09/2007
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