Individual
DR. BRENDA G PAULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5180 ROSWELL RD NE, SOUTH BLDG - STE 101, ATLANTA, GA 30342-2293
(404) 257-0091
(404) 843-0264
Mailing address
1416 VERNON RIDGE CLOSE, ATLANTA, GA 30338-4236
(770) 481-0666
(770) 481-0061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN010235
DENTAL LICENSE NUMBER
GA
Enumeration date
10/25/2006
Last updated
07/08/2007
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