Individual
DR. PAUL B GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2500 BROOKTREE RD, SUITE 100, WEXFORD, PA 15090-9278
(724) 935-2100
(724) 935-2133
Mailing address
2500 BROOKTREE RD, SUITE 100, WEXFORD, PA 15090-9278
(724) 935-2100
(724) 935-2133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 029315L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
790410
UNITED CONCORDIA PROVIDER
PA
Enumeration date
10/04/2006
Last updated
06/08/2011
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