Individual
DR. PAUL DEASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22 TRUCK HOUSE RD STE 3, SEVERNA PARK, MD 21146-2728
(410) 647-4269
(410) 544-5910
Mailing address
22 TRUCK HOUSE RD, SEVERNA PARK, MD 21146-2728
(410) 647-4269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14801
MD
Other
Enumeration date
05/17/2011
Last updated
08/31/2012
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