| Pawlus Dental Inc | |
|
4001 W Goeller Blvd Ste C Columbus IN 47201-8309 | |
| (812) 372-8590 | |
| (812) 372-8934 |
| Full Name | Pawlus Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 4001 W Goeller Blvd Ste C, Columbus, Indiana |
| Authorized Official Name and Position | John G Pawlus (PRESIDENT) |
| Authorized Official Contact | 8123728590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pawlus Dental Inc 4001 W Goeller Blvd Ste C Columbus IN 47201-8309 Ph: (812) 372-8590 | Pawlus Dental Inc 4001 W Goeller Blvd Ste C Columbus IN 47201-8309 Ph: (812) 372-8590 |
| NPI Number | 1013134212 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 02/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013134212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009682A (Indiana) | Primary |
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