Individual
DR. PAUL, PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
10563 CRESTWOOD DR, MANASSAS, VA 20109-3406
(703) 361-8411
(703) 361-7058
Mailing address
10563 CRESTWOOD DR, MANASSAS, VA 20109-3406
(703) 361-8411
(703) 361-7058
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401005701
VA
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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