Individual
DR. PAUL D REVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 WASHINGTON AVE, SUITE 215, BAY CITY, MI 48708
(989) 893-2140
(989) 893-0423
Mailing address
916 WASHINGTON AVE, SUITE 215, BAY CITY, MI 48708
(989) 893-2140
(989) 893-0423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12915
MI
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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