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NPI Code Detail

MEDICARE: DR. PAUL J ZOSEL D.D.S.

MEDICARE:  DR. PAUL J ZOSEL  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics3872WA

General Provider Information

NPI Number : 1093800336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL J ZOSEL D.D.S.
Provider Business Mailing Address
First Line : 1105 N FOREST ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5119
Country : US
Telephone Number : 360-734-6967
Fax Number : 360-715-8573
Provider Business Practice Location Address
First Line : 1105 N FOREST ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5119
Country : US
Telephone Number : 360-734-6967
Fax Number : 360-715-8573
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL J ZOSEL D.D.S.” Practice Location

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