Individual
DR. PETER J PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 S RIVERVIEW, BELLEVUE, IA 52031
(563) 872-3211
(563) 872-5678
Mailing address
400 S RIVERVIEW, BELLEVUE, IA 52031
(563) 872-3211
(563) 872-5678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150383
DELTA DENTAL FO IA
IA
05
—
0150383
—
IA
Enumeration date
11/30/2006
Last updated
07/08/2007
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