| J. Michael Panczyszyn, D.d.s., Pa | |
|
938 Bridgewater Dr Unit 3b Port Orange FL 32129-6108 | |
| (386) 756-3728 | |
| Not Available |
| Full Name | J. Michael Panczyszyn, D.d.s., Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 938 Bridgewater Dr, Port Orange, Florida |
| Authorized Official Name and Position | J. Michael Panczyszyn (DENTIST) |
| Authorized Official Contact | 3867563728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Michael Panczyszyn, D.d.s., Pa 938 Bridgewater Dr Unit 3b Port Orange FL 32129-6108 Ph: (386) 756-3728 | J. Michael Panczyszyn, D.d.s., Pa 938 Bridgewater Dr Unit 3b Port Orange FL 32129-6108 Ph: (386) 756-3728 |
| NPI Number | 1932373636 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932373636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0009950 (Florida) | Primary |
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