Provider Demographics
NPI:1194593228
Name:PANOPIO, JOYCE ANN MORENO (RDH, RDHAP)
Entity type:Individual
Prefix:
First Name:JOYCE ANN
Middle Name:MORENO
Last Name:PANOPIO
Suffix:
Gender:F
Credentials:RDH, RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20950 DELORAINE DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2522
Mailing Address - Country:US
Mailing Address - Phone:626-488-6503
Mailing Address - Fax:
Practice Address - Street 1:20950 DELORAINE DR
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-2522
Practice Address - Country:US
Practice Address - Phone:626-488-6503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty