Paul Nawiesniak Dds

NPI 1225440159 - Clinic/Center - 261QD0000X

NPI Details
NPI 1225440159
Enumeration Date 05/27/2014
Last Updated 05/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PAUL J PAUL
Position OWNER
Phone (240) 357-6129
Fax
Practice Location
401 W MAIN ST
SUITE 101
LEBANON TN, 37087-3584, US
Phone (240) 357-6129
Fax
Business Location
401 W MAIN ST
SUITE 101
LEBANON TN, 37087-3584, US
Phone (240) 357-6129
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Maryland
License Number 117087
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According to our database, Paul Nawiesniak Dds NPI is 1225440159, taxonomy code is 261QD0000X and license number is 117087, license state is located at Maryland. Paul Nawiesniak Dds physically located at 401 W Main St, Lebanon TN, 37087-3584. NPI Number 1033115704 has the healthcare provider type.

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1225440159 NPI number is provided on an as is basis without warranty of any kind. 1225440159 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Nawiesniak Dds are for informational purposes only.