DR. Roger Louis Paul, DMD

NPI #1497829063 in Peoria, Illinois

Provider Information

NPI Number: 1497829063
Entity Type: Individual
Name: DR. Roger Louis Paul, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 521 W LAKE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-6020
Phone: (309) 682-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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