Organization
WILMINGTON ORTHODONTIC CENTER LLC
Active
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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