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Organization

WILMINGTON ORTHODONTIC CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY PANCKO DDS (MEMBER)
(609) 256-1702
Entity
Organization

Contact information

Practice address
2300 PENNSYLVANIA AVE STE 5C, WILMINGTON, DE 19806-1305
(302) 658-7354
(302) 298-0025
Mailing address
2300 PENNSYLVANIA AVE STE 5C, WILMINGTON, DE 19806-1305
(302) 658-7354
(302) 298-0025

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
11/05/2025
Last updated
11/05/2025
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