Individual
DR. PAUL J ENGIBOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 E TUDOR RD, ANCHORAGE, AK 99503
(907) 522-1567
(907) 344-9036
Mailing address
330 E TUDOR RD, ANCHORAGE, AK 99503
(907) 522-1567
(907) 344-9036
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
918
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0918
—
AK
Enumeration date
12/06/2006
Last updated
07/08/2007
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