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Individual
DR. PAUL MORISSEAU
Active
Individual
DR. PAUL MORISSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1946
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8140
BLUE CROSS
RI
01
—
PM00619
MEDICAL ASSISTANCE
RI
Enumeration date
12/15/2006
Last updated
11/18/2015
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