Individual
PAUL A INGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4087 S CENTER RD, BURTON, MI 48519-1466
(810) 744-1324
Mailing address
4087 S CENTER RD, BURTON, MI 48519-1466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600435
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2020
Last updated
06/19/2020
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