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Organization

PAUL R. DURYEA DDS MS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL RUSSELL DURYEA DDS,MS (ORTHODONTIST)
(727) 785-8847
Entity
Organization

Contact information

Practice address
2595 TAMPA RD, SUITE I, PALM HARBOR, FL 34684-3152
(727) 785-8847
(727) 785-9372
Mailing address
2595 TAMPA RD, SUITE I, PALM HARBOR, FL 34684-3152
(727) 785-8847
(727) 785-9372

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN0008502
FL

Other

Enumeration date
02/28/2007
Last updated
08/22/2020
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