DR. Paul T Shore, DDS

NPI #1205847852 in Wausau, Wisconsin

Provider Information

NPI Number
1205847852
Entity Type
Individual
Name
DR. Paul T Shore, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
617 JACKSON ST
City
Wausau
ZIP Code
54401
Phone
(715) 842-0764

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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