| Organization Name: | DR. PANESAR |
| NPI Number: | 1073727848 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PALWINDER KAUR PANESAR (DOCTOR) |
| Mailing Address: | 207 Main St Fort Fairfield |
| State: | ME US |
| Postal Code: | 047421120 |
| Phone Number: | 2074737723 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 3510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |