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Organization · General Practice Dentistry · Evansville, IN

NPI
1407930977
Type
Organization (Type 2)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
7625 (IN)
Enumerated
2006-10-24
Last updated
2008-01-28
Practice location
3012 N First Ave
Evansville, IN 47710
(812) 423-0113

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