Individual
DR. PETER PAUL MPANTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2641 42ND AVE SW, APT 317, SEATTLE, WA 98116-4901
(516) 984-9129
Mailing address
2641 42ND AVE SW, APT 317, SEATTLE, WA 98116-4901
(516) 984-9129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60466844
WA
1223G0001X
General Practice Dentistry
Primary
60466844
WA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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