Individual
DR. PAUL THEODORE ANAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1121 E SIBLEY BLVD, DOLTON, IL 60419-2827
(708) 201-1072
Mailing address
849 N FRANKLIN ST, #1104, CHICAGO, IL 60610-8793
(618) 530-5816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027804
IL
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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