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DR. PAUL R MACO D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1689679706

Individual Registrant:
DR. PAUL R MACO D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
4323 HILL ST  FORT JACKSON, SC 29207 US
Tel: 803-751-1624  Fax: --

Contact information for business:
4323 HILL ST  FORT JACKSON, SC 29207 US
Tel: 803-751-1624  Fax: --

Registration Information:
NPI: 1689679706
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
IL019021190

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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