Organization
PLASTIC SURGERY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FRANCIS PAUL MD, DDS, MS (OWNER)
(563) 359-4777
Entity
Organization
Contact information
Practice address
3385 DEXTER CT, SUITE 115, DAVENPORT, IA 52807-3471
(563) 359-4777
(563) 359-4781
Mailing address
3385 DEXTER CT, SUITE 115, DAVENPORT, IA 52807-3471
(563) 359-4777
(563) 359-4781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33897
IA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
07454
IA
208200000X
Plastic Surgery Physician
Primary
33897
IA
Other
Enumeration date
01/18/2008
Last updated
02/01/2008
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