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Individual
DR. PAUL ATHANASIUS
Active
Individual
DR. PAUL ATHANASIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02428700
NJ
1223G0001X
General Practice Dentistry
Primary
59641
CA
Other
Enumeration date
11/29/2009
Last updated
08/15/2024
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