Organization
PETER E. PAULOS, DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E PAULOS DDS, MS (PRESIDENT)
(801) 262-3777
Entity
Organization
Contact information
Practice address
6287 S REDWOOD RD, SUITE 202, SALT LAKE CITY, UT 84123-6634
(801) 262-3777
(801) 262-5356
Mailing address
6287 S REDWOOD RD, SUITE 202, SALT LAKE CITY, UT 84123-6634
(801) 262-3777
(801) 262-5356
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
132585
UT
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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