Organization
DOHERTY DDS, AND PAULUS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON DOUGLAS PAULUS D.D.S. (DENTIST)
(330) 833-4746
Entity
Organization
Contact information
Practice address
711 LINCOLN WAY E, MASSILLON, OH 44646-6829
(330) 833-4746
(330) 832-9928
Mailing address
711 LINCOLN WAY E, MASSILLON, OH 44646-6829
(330) 833-4746
(330) 832-9928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.014457
OH
1223G0001X
General Practice Dentistry
30.021964
OH
Other
Enumeration date
12/12/2010
Last updated
12/12/2010
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