Individual
KANVAR PANESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, MD
Contact information
Practice address
1919 7TH AVE S RM 406, BIRMINGHAM, AL 35233-2005
(206) 543-5860
Mailing address
1919 7TH AVE S RM 406, BIRMINGHAM, AL 35233-2005
(206) 543-5860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60853764
WA
208600000X
Surgery Physician
Primary
46766
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2017
Last updated
01/15/2024
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