ROGER LOUIS PAUL

PEORIA, IL
NPI1497829063
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  1916423)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
Dr. ROGER LOUIS PAUL DMD
521 W LAKE AVE
PEORIA, IL 61614-6020
Phone number: 309-682-0770
Mailing Address
Dr. ROGER LOUIS PAUL DMD
521 W LAKE AVE
PEORIA, IL 61614-6020
Phone number: 309-682-0770
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