Individual
MS. MARILYN LACSAMANA PANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
229 7TH ST, SAN FRANCISCO, CA 94103-4003
(415) 503-6033
(415) 503-6099
Mailing address
229 7TH ST, SAN FRANCISCO, CA 94103-4003
(415) 503-6033
(415) 503-6099
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28381
CA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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