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Individual

DR. JOHN DAS PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4201 GASTON AVE, #102, DALLAS, TX 75246-1400
(214) 370-8383
Mailing address
4201 GASTON AVE, #102, DALLAS, TX 75246-1400
(214) 370-8383

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30539
TX
1223G0001X
General Practice Dentistry
30539
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33907004
TX
Enumeration date
05/23/2014
Last updated
10/15/2015
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