Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI Number | 1780875336 |
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| LBN Legal business name | PAUL E TESONE DDS | ||||||||||||||||
| Authorized official | PAUL TESONE - (OWNER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 08/08/2007 | ||||||||||||||||
| Last updated | 08/08/2007 - About 19 years ago | ||||||||||||||||
| Identifiers |
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PAUL E TESONE DDS
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