Individual
DR. PAUL THOMAS JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 AVERITT ROAD, GREENWOOD, IN 46143
(317) 888-6111
(317) 859-4195
Mailing address
710 AVERITT ROAD, GREENWOOD, IN 46143
(317) 888-6111
(317) 859-4195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007614A
IN
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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