Individual
PAUL JOSEPH CONGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1102 BEALL ST, HUDSON, WI 54016-2060
(715) 386-3675
(715) 386-0985
Mailing address
1102 BEALL ST, HUDSON, WI 54016-2060
(715) 386-3675
(715) 386-0985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3247-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33463900
—
WI
Enumeration date
04/07/2007
Last updated
03/19/2015
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