Individual
DR. PAUL A. SERGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1918 EDISON RD, SOUTH BEND, IN 46617-1711
(574) 287-8900
Mailing address
1918 EDISON RD, SOUTH BEND, IN 46617-1711
(574) 287-8900
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
008515
IN
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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