Organization
PAUL D. REVARD D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DOUGLAS REVARD D.D.S. (OWNER)
(989) 893-2140
Entity
Organization
Contact information
Practice address
916 WASHINGTON AVE., SUITE 215, BAY CITY, MI 48708
(989) 893-2140
(989) 893-0423
Mailing address
916 WASHINGTON AVE, SUITE 215, BAY CITY, MI 48708
(989) 893-2140
(989) 893-2140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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