Individual
ROBERT B PANTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS LTD
Contact information
Practice address
2812 A 17TH AVE S, GRAND FORKS, ND 58201
(701) 775-3101
(701) 775-0017
Mailing address
2812 A 17TH AVE S, GRAND FORKS, ND 58201
(701) 775-3101
(701) 775-0017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1863
ND
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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