Individual
DR. JOHN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2024 EDGEWOOD DR S, LAKELAND, FL 33803-3637
(863) 665-6201
Mailing address
2024 EDGEWOOD DR S, LAKELAND, FL 33803-3637
(863) 665-6201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3011
SC
122300000X
Dentist
Primary
DN 12035
FL
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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