Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DE00006714 | WA |
NPI | 1104985746 |
---|---|
Provider Name | Dr. William Bryant Paulin JR. |
First Address | Silverdale, WA 98383-3770 |
Second Address | Silverdale, WA 98383-8554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 08/07/2007 |