Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 20817 | CA |
NPI | 1194870162 |
---|---|
Provider Name | Dr. Paul P. Binon |
First Address | Roseville, CA 95661-4422 |
Second Address | Roseville, CA 95661-4422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |