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Individual

PAUL FALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4820 W TAFT RD, LIVERPOOL, NY 13088-2800
(315) 451-6988
(315) 453-0150
Mailing address
4820 W TAFT RD, LIVERPOOL, NY 13088-2800
(315) 451-6988
(315) 453-0150

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
026188
NY

Other

Enumeration date
01/22/2014
Last updated
01/22/2014
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