| Paul B. Belusko, Dds, A Professional Corporation | |
|
125 Plaza Dr Ste 407 Vallejo CA 94591-3707 | |
| (707) 647-2760 | |
| (619) 336-1976 |
| Full Name | Paul B. Belusko, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 125 Plaza Dr Ste 407, Vallejo, California |
| Authorized Official Name and Position | Haley Wooster (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7127444529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul B. Belusko, Dds, A Professional Corporation 125 Plaza Dr Ste 407 Vallejo CA 94591-3707 Ph: (707) 647-2760 | Paul B. Belusko, Dds, A Professional Corporation 125 Plaza Dr Ste 407 Vallejo CA 94591-3707 Ph: (707) 647-2760 |
| NPI Number | 1598172579 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 07/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598172579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 63103 (California) | Primary |
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