Paul D. Revard D.d.s.

NPI #1083055289 in Bay City, Michigan

Provider Information

NPI Number: 1083055289
Entity Type: Organization
Organization Name: Paul D. Revard D.d.s.
Primary Specialty: Dentist
Enumeration Date: Jul 16, 2013
Last Updated: Jul 16, 2013

Practice Location

Address: 916 WASHINGTON AVE.
Address 2: SUITE 215
City: Bay City
State: Michigan
ZIP Code: 48708
Phone: (989) 893-2140

Authorized Official

Name: DR. PAUL DOUGLAS REVARD, D.D.S.
Title: OWNER
Phone: (989) 893-2140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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