Individual
DR. PAUL LUDWIG OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
455 MAGNOLIA AVE, MERRITT ISLAND, FL 32952-4838
(321) 453-7750
(321) 453-4966
Mailing address
455 MAGNOLIA AVE, MERRITT ISLAND, FL 32952-4838
(321) 453-7750
(321) 453-4966
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0006097
FL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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