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Organization
STILL WATERS FAMILY DENTISTRY, PC
Active
Organization
STILL WATERS FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK DOWNEY D.D.S (OWNER)
(260) 622-4138
Entity
Organization
Contact information
Practice address
10045 NORTH STATE ROAD 1, OSSIAN, IN 46777
(260) 622-4138
Mailing address
10045 NORTH STATE ROAD 1, OSSIAN, IN 46777
(260) 622-4138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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