Individual
DR. PAUL MICHAEL BLIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
452 N SEYMOUR AVE, MUNDELEIN, IL 60060
(847) 566-4060
Mailing address
452 N SEYMOUR AVE, MUNDELEIN, IL 60060
(847) 566-4060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A13558
IL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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