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Individual

DR. PAUL E ISAACSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1105 4TH AVE E, STE A, OLYMPIA, WA 98506-4018
(360) 357-8075
(360) 357-3842
Mailing address
1105 4TH AVE E, STE A, OLYMPIA, WA 98506-4018
(360) 357-8075
(360) 357-3842

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006321
WA
1223G0001X
General Practice Dentistry
DE00006321
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5019674
WA
Enumeration date
06/09/2005
Last updated
07/28/2010
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