Organization
PAUL NAWIESNIAK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J NAWIESNIAK DDS (OWNER)
(301) 694-2640
Entity
Organization
Contact information
Practice address
401 W MAIN ST, SUITE 101, LEBANON, TN 37087-3584
(240) 357-6129
Mailing address
401 W MAIN ST, SUITE 101, LEBANON, TN 37087-3584
(240) 357-6129
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
117087
MD
261QD0000X
Dental Clinic/Center
Primary
9800
TN
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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