Organization
PAWLUS DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G PAWLUS DDS (PRESIDENT)
(812) 372-8590
Entity
Organization
Contact information
Practice address
4001 W GOELLER BLVD STE C, COLUMBUS, IN 47201-8309
(812) 372-8590
(812) 372-8934
Mailing address
4001 W GOELLER BLVD STE C, COLUMBUS, IN 47201-8309
(812) 372-8590
(812) 372-8934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009682A
IN
Other
Enumeration date
04/19/2007
Last updated
02/07/2013
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