Provider Demographics
NPI:1801819248
Name:PAUZA, WALTER VICTOR (DDS)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:VICTOR
Last Name:PAUZA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34129 NAVIN
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1259
Mailing Address - Country:US
Mailing Address - Phone:248-797-8978
Mailing Address - Fax:
Practice Address - Street 1:34129 NAVIN
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1259
Practice Address - Country:US
Practice Address - Phone:248-797-8978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010133741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice