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Organization
PAUL B. BELUSKO, DDS, A PROFESSIONAL CORPORATION
Active
Organization
PAUL B. BELUSKO, DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY WOOSTER (CREDENTIALING COORDINATOR)
(712) 744-4529
Entity
Organization
Contact information
Practice address
125 PLAZA DR STE 407, VALLEJO, CA 94591-3707
(707) 647-2760
(619) 336-1976
Mailing address
125 PLAZA DR STE 407, VALLEJO, CA 94591-3707
(707) 647-2760
(619) 336-1976
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63103
CA
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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