Individual
DR. PAUL LARRY PASTERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 BRITTON PLACE, SUITE 11, VOORHEES, NJ 08043
(856) 770-0033
(856) 770-0608
Mailing address
1 BRITTON PLACE, SUITE 11, VOORHEES, NJ 08043
(856) 770-0033
(856) 770-0608
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI00954800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3021904
—
NJ
Enumeration date
01/11/2007
Last updated
07/08/2007
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