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Organization
VDP ROCHESTER LLC
Active
Organization
VDP ROCHESTER LLC
Active
Other names
Implant and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ARICKA ULERY (PRACTICE MANAGER)
(574) 223-3121
Entity
Organization
Contact information
Practice address
1329 MAIN ST, ROCHESTER, IN 46975-2107
(574) 223-3121
(574) 406-8136
Mailing address
1329 MAIN ST, ROCHESTER, IN 46975-2107
(574) 223-3121
(574) 406-8136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154715324
DENTIST
—
01
—
1922016260
DENTIST
—
Enumeration date
05/24/2023
Last updated
05/24/2023
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