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Individual

PRAKASH PANGENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2324 ROOSEVELT RD, MARINETTE, WI 54143-3824
(206) 543-0903
Mailing address
2324 ROOSEVELT RD, MARINETTE, WI 54143-3824

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001604-15
WI

Other

Enumeration date
02/28/2024
Last updated
06/25/2024
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