Organization
DOVER ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN XAVIER PANCKO JR. DDS (ORAL AND MAXILLOFACIAL SURGEON)
(443) 939-0942
Entity
Organization
Contact information
Practice address
712 S GOVERNORS AVE, DOVER, DE 19904-4106
(302) 674-1140
Mailing address
3450 WAYNE AVE APT 28M, BRONX, NY 10467-2554
(443) 939-0942
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G1-0001269
DE
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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