Individual
DR. STEPHEN PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1513 RIVERSIDE AVE, FORT COLLINS, CO 80524-4348
(970) 484-4255
Mailing address
1513 RIVERSIDE AVE, FORT COLLINS, CO 80524-4348
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
105062
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02050623
—
CO
Enumeration date
07/13/2005
Last updated
07/08/2007
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