Organization
PETER J PAULY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J PAULY DDS (DENTIST-PRESIDENT)
(563) 872-5678
Entity
Organization
Contact information
Practice address
400 S RIVERVIEW ST, BELLEVUE, IA 52031-1350
(563) 872-5678
Mailing address
400 S RIVERVIEW ST, BELLEVUE, IA 52031-1350
(563) 872-5678
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150383
—
IA
Enumeration date
05/27/2008
Last updated
05/27/2008
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