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Individual

DR. PAUL J MAUPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
114 E. 4TH, STE. #100, ROSWELL, NM 88201
(505) 627-0141
(505) 625-6713
Mailing address
114 E. 4TH, STE. #100, ROSWELL, NM 88201
(505) 627-0141
(505) 625-6713

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2615
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13687735
NM
Enumeration date
08/18/2006
Last updated
06/06/2011
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