Individual
DR. IRIS ANASTASIA PANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
646 SWIFT RD BLDG 606, WEST POINT, NY 10996-1942
(845) 938-7769
Mailing address
646 SWIFT RD BLDG 606, WEST POINT, NY 10996-1942
(845) 938-7769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1855434
MA
1223P0300X
Periodontics
A058336
NY
1223P0300X
Periodontics
Primary
DN1855434
MA
171100000X
Acupuncturist
A058336
NY
Other
Enumeration date
08/05/2010
Last updated
12/18/2021
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