Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI # | 1740356229 |
| LBN Legal business name | ROLAND W PARDUN DDS SC |
| Authorized official | ROLAND PARDUN - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/28/2006 |
| Last updated | 06/17/2008 - About 18 years ago |
| Identifiers | n/a |
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