Individual
DR. ANTOINE PANOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1247 S CEDAR CREST BLVD, SUITE# 300, ALLENTOWN, PA 18103-6298
(484) 550-6618
(610) 432-0233
Mailing address
4 ROCKBOURNE RD, STE 400, CLIFTON HEIGHTS, PA 19018-1739
(484) 461-0128
(484) 461-0130
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS036277
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
201201857
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101236155
—
PA
Enumeration date
12/08/2006
Last updated
01/03/2018
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