Individual
DR. PAUL RUSSELL DURYEA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
2595 TAMPA RD, PALM HARBOR, FL 34684-3131
(727) 785-8847
(727) 785-9372
Mailing address
2595 TAMPA RD, PALM HARBOR, FL 34684-3131
(727) 785-8847
(727) 785-9372
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN0008502
FL
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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