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Individual

DR. EDWARD DAVID PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S. F.A.G.D

Contact information

Practice address
161 EAST AVE STE 202, NORWALK, CT 06851
(203) 838-3938
Mailing address
161 EAST AVE STE 202, NORWALK, CT 06851-5710
(203) 838-3938
(203) 866-5491

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7749
CT
1223P0700X
Prosthodontics
Primary
7749
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7749
LICENSE NUMBER
CT
Enumeration date
05/23/2005
Last updated
08/08/2018
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