Individual
DR. PAUL J NAWIESNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
238 BROOKLEY AVE SW, 579 MDG, BOLLING AFB, DC 20032-7704
(703) 681-7127
Mailing address
8910 BRADFORD WAY, FREDERICK, MD 21701-5861
(301) 694-2640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-020493
IL
1223G0001X
General Practice Dentistry
9800
TN
Other
Enumeration date
08/20/2006
Last updated
07/31/2014
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