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Individual

DR. DAVID WAYNE PAQUETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MPH, DMSC

Contact information

Practice address
101 BRAUER HALL CB # 7450, CHAPEL HILL, NC 27599-7450
(919) 966-1221
Mailing address
401 CLAYTON RD, CHAPEL HILL, NC 27514-7613

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0021
NC
1223P0300X
Periodontics
17520
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89-96589
NC
Enumeration date
12/21/2006
Last updated
07/08/2007
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