Individual
DR. MICHAEL ALLEN PAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2103 E WASHINGTON ST, SUITE 3, BLOOMINGTON, IL 61701-4310
(309) 662-6660
(309) 664-6044
Mailing address
2103 E WASHINGTON ST, SUITE 3, BLOOMINGTON, IL 61701-4310
(309) 662-6660
(309) 664-6044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020828
IL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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