Individual
DR. DALLAS JOSEPH PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
14815 W BELL RD STE 202, SURPRISE, AZ 85374-7611
(632) 547-5400
Mailing address
4200 N FALCON DR UNIT 97, GOODYEAR, AZ 85395-2306
(702) 305-5836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009672
AZ
1223G0001X
General Practice Dentistry
DEN.00202857
CO
Other
Enumeration date
07/20/2016
Last updated
07/21/2022
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