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Dr. Panesar
Dental Clinic/Center in Fort Fairfield, Maine
NPI 1073727848

Dr. Panesar is a Dental Clinic/Center based in Fort Fairfield, ME and is specialized in Dental. Dr. Panesar practices in Fort Fairfield, ME. The NPI Number for Dr. Panesar is 1073727848 and holds a License No. 3510 (Maine).

The current practice location address for Dr. Panesar is 207 Main St, Fort Fairfield, ME and can be reached out via phone at 207-473-7723.

Location: 207 Main St, Fort Fairfield, ME, 04742-1120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073727848
Provider Name
Dr. Panesar
Credential
Provider Entity Type
Organization
Address
207 Main St, Fort Fairfield, ME, 04742-1120
Phone Number
207-473-7723
Fax Number
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MAINECARE 01 ME 133590000
1710921945 01 ME NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
207 Main St
City
Fort Fairfield
State
Maine
Zip
04742-1120
Phone Number
207-473-7723
Fax Number
person
Provider Business Mailing Address Details
Address
207 Main St
City
Fort Fairfield
State
Maine
Zip
04742-1120
Phone Number
207-473-7723
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
3510 (Maine)
Definition
Definition to come...
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