Individual
PAUL A MAIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2289 RUDOLPHTOWN RD, SUITE A, CLARKSVILLE, TN 37043-2230
(931) 647-2243
Mailing address
135 WESTFIELD CT, APT# 1705, CLARKSVILLE, TN 37040-5073
(931) 624-9293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9480
TN
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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