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Organization
HOMETOWN FAMILY DENTISTRY LLC
Active
Organization
HOMETOWN FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE D WHITE DDS (DENTIST)
(317) 271-9400
Entity
Organization
Contact information
Practice address
9780 E US HIGHWAY 36, AVON, IN 46123-7979
(317) 271-9400
(317) 271-9401
Mailing address
9780 E US HIGHWAY 36, AVON, IN 46123-7979
(317) 271-9400
(317) 271-9401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010882A
IN
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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