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Individual

PAUL ANTHONY VIATOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
HANMI BLDG MIDDLE RD, NEW WAVE DENTAL CLINIC, SAIPAN, MP 96950
(670) 233-3300
Mailing address
PMB 271 BOX 10002, SAIPAN, MP 96950-8902
(670) 788-2770

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0085
MP
1223G0001X
General Practice Dentistry
9246
CO
1223G0001X
General Practice Dentistry
D7952
OR

Other

Enumeration date
06/11/2007
Last updated
07/08/2007
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