Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 2901008378 | MI |
NPI | 1497026967 |
---|---|
Provider Name | Dr. Ronald Joseph Paler |
First Address | Brighton, MI 48116-7760 |
Second Address | Brighton, MI 48116-7760 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2012 |
Last Update Date | 15/01/2012 |