| Peter E. Paulos, DDS, MS | |
|
6287 S Redwood Rd Suite 202 Salt Lake City UT 84123-6634 | |
| (801) 262-3777 | |
| (801) 262-5356 |
| Full Name | Peter E. Paulos, DDS, MS |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6287 S Redwood Rd, Salt Lake City, Utah |
| Authorized Official Name and Position | Peter E Paulos (PRESIDENT) |
| Authorized Official Contact | 8012623777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter E. Paulos, DDS, MS 6287 S Redwood Rd Suite 202 Salt Lake City UT 84123-6634 Ph: (801) 262-3777 | Peter E. Paulos, DDS, MS 6287 S Redwood Rd Suite 202 Salt Lake City UT 84123-6634 Ph: (801) 262-3777 |
| NPI Number | 1508014127 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508014127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 132585 (Utah) | Primary |
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