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Organization
LARRY W. PAMPEL D.D.S., INC.
Active
Organization
LARRY W. PAMPEL D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY WAYNE PAMPEL DDS (OWNER)
(219) 987-5733
Entity
Organization
Contact information
Practice address
534 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-5733
(219) 987-6162
Mailing address
PO BOX 848, DEMOTTE, IN 46310-0848
(219) 987-5733
(219) 987-6162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006974
IN
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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