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Dr. Ryan A Paulson, DDS

Dentist, General Practice in Traverse City, MI. Individual provider (NPI-1).

NPI number1528126398
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1528126398
Entity type
Individual (NPI-1)
Name
Dr. Ryan A Paulson
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice290101870MIYes

Practice location

928 S Garfield Ave
Traverse City, MI 49686-2403

Phone 231-935-4872

Mailing address

928 S Garfield Ave
Traverse City, MI 49686-2403

Phone 231-935-4872

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