| Theodore J Pauly Dds Ltd | |
|
1940 W Galena Blvd Suite 10 Aurora IL 60506-4483 | |
| (630) 892-8933 | |
| (630) 892-8935 |
| Full Name | Theodore J Pauly Dds Ltd |
|---|---|
| Speciality | Dentist |
| Location | 1940 W Galena Blvd, Aurora, Illinois |
| Authorized Official Name and Position | Theodore John Pauly (PRESIDENT) |
| Authorized Official Contact | 6308928933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore J Pauly Dds Ltd 1940 W Galena Blvd Suite 10 Aurora IL 60506-4483 Ph: (630) 892-8933 | Theodore J Pauly Dds Ltd 1940 W Galena Blvd Suite 10 Aurora IL 60506-4483 Ph: (630) 892-8933 |
| NPI Number | 1134289705 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134289705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19010102 (Illinois) | Primary |
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