Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DL12777 | MA |
NPI | 1710998695 |
---|---|
Provider Name | Monica Teresa Paz |
First Address | East Sandwich, MA 02537-1420 |
Second Address | Provincetown, MA 02657-1618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 06/05/2016 |