Elizabeth Wallin Pawlak, D.M.D.
Dentist in Madison, IN. Individual provider (NPI-1).
NPI number1649454331
StatusActive
Last updated in NPPESDec 18, 2007
Details
- NPI
- 1649454331
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Wallin Pawlak
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2007
- Last updated
- Dec 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12009881 | IN | Yes |
Practice location
160 Demaree DrMadison, IN 47250-4622
Phone 812-273-8744
Mailing address
160 Demaree DrMadison, IN 47250-4622
Phone 812-273-8744
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