Organization
PSP HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S PAMULA DDS MD (OWNER)
(262) 634-4646
Entity
Organization
Contact information
Practice address
1925 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4654
(262) 634-4646
(262) 634-4694
Mailing address
1925 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4654
(262) 634-4646
(262) 634-4694
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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