| Marc Pana Professional Dental Corporation | |
|
6 Hughes Suite 100 Irvine CA 92618-2059 | |
| (877) 358-3915 | |
| (949) 680-1881 |
| Full Name | Marc Pana Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6 Hughes, Irvine, California |
| Authorized Official Name and Position | Marc Pana (ORTHODONTIST/ PRESIDENT) |
| Authorized Official Contact | 3104355622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Pana Professional Dental Corporation 6 Hughes Suite 100 Irvine CA 92618-2059 Ph: (877) 358-3915 | Marc Pana Professional Dental Corporation 6 Hughes Suite 100 Irvine CA 92618-2059 Ph: (877) 358-3915 |
| NPI Number | 1386827707 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386827707 | NPI | - | NPPES |
| 1043368517 | Other | CA | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 54184 (California) | Primary |
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