Provider Demographics
NPI:1003886912
Name:PARULIS, ALBERT W JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:W
Last Name:PARULIS
Suffix:JR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:213 S JEFFERSON ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-362-5900
Mailing Address - Fax:540-366-5131
Practice Address - Street 1:6027 PETERS CREEK RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019
Practice Address - Country:US
Practice Address - Phone:540-362-5900
Practice Address - Fax:540-366-5131
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2022-08-10
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Provider Licenses
StateLicense IDTaxonomies
VA04014112331223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery