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Individual

JAMES PAWLECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
133 W HULL DR, DELAWARE, OH 43015-3703
(740) 363-3871
(740) 369-6616
Mailing address
133 W HULL DR, DELAWARE, OH 43015-3703
(740) 363-3871
(740) 369-6616

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
022379
OH
1223G0001X
General Practice Dentistry
DE00010637
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
215835
L & I
WA
01
5052733
CHPW
WA
05
5052733
WA
01
911019392
COMMERCIAL
Enumeration date
10/05/2006
Last updated
02/03/2012
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