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Organization · General Practice Dentistry · Evansville, IN

NPI
1386881738
Type
Organization (Type 2)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
12007602A (IN)
Enumerated
2009-01-07
Last updated
2009-01-07
Practice location
5200 Washington Ave
Evansville, IN 47715-4863
(812) 488-2008

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