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Organization
JEFFREY W RHONEMUS,D.D.S.,P.C.
Active
Organization
JEFFREY W RHONEMUS,D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WILLIAM RHONEMUS DDS (PRES)
(765) 458-5618
Entity
Organization
Contact information
Practice address
302 S FAIRGROUND ST, LIBERTY, IN 47353-1414
(765) 458-5618
(765) 458-6734
Mailing address
302 S FAIRGROUND ST, LIBERTY, IN 47353-1414
(765) 458-5618
(765) 458-6734
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54001205
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54001205
INDIANA CORP LICENSE
IN
Enumeration date
09/13/2007
Last updated
09/13/2007
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