Individual
DR. WILLIAM EDWARD PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
926 EAST LASALLE AVENUE, SOUTH BEND, IN 46617-2887
(574) 233-7700
(574) 233-8264
Mailing address
926 EAST LASALLE AVENUE, SOUTH BEND, IN 46617-2887
(574) 233-7700
(574) 233-8264
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12007373A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222380A
—
IN
Enumeration date
06/06/2006
Last updated
12/13/2016
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