Individual
PAUL VERNON BAHLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
51 S BRIAN MICKELSEN PKWY, COTTONWOOD, AZ 86326-3610
(928) 639-8132
(866) 274-8919
Mailing address
55 CATHEDRAL ROCK DR, SEDONA, AZ 86351-8630
(719) 475-7946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9885
CO
1223G0001X
General Practice Dentistry
Primary
D09182
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196541
—
LA
Enumeration date
08/13/2006
Last updated
09/17/2019
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