Individual
DR. PAUL EDWIN OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
233 SOUTHBOUND GRATIOT, MOUNT CLEMENS, MI 48043-2413
(586) 465-6503
(586) 465-6504
Mailing address
233 SOUTHBOUND GRATIOT, MOUNT CLEMENS, MI 48043-2413
(586) 465-6503
(586) 465-6504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010523
MI
Other
Enumeration date
07/28/2006
Last updated
09/14/2009
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