Organization
PANUCCI ORTHODONTICS, PLLC
Active
Other names
Farming Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA PANUCCI DDS (OWNER)
(304) 772-3707
Entity
Organization
Contact information
Practice address
5800 WILLOW BEND RD, UNION, WV 24983-6229
(304) 772-3707
Mailing address
5800 WILLOW BEND RD, UNION, WV 24983-6229
(304) 772-3707
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3174
WV
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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