Individual
DR. JOHN KEITH PAUL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2050 A SECOND ST. SE, 377 MDG, KIRTLAND AFB, NM 87117-5522
(505) 846-3055
Mailing address
2050 A SECOND ST. SE, 377 MDG, KIRTLAND AFB, NM 87117-5522
(505) 846-3055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14971
TX
Other
Enumeration date
10/04/2005
Last updated
08/05/2008
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