# DENTAL ASSOCIATES WEST, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548703671
- **Authorized official:** DR. JOYCE GONZALVO ABLOG D.D.S. (PRESIDENT/DENTIST)
- **Authorized official phone:** (812) 422-1135

## Contact information

- **Practice address:** 5310 PEARL DR, SUITE C, EVANSVILLE, IN 47712-8105
- **Practice address phone:** (812) 422-1135
- **Practice address fax:** (812) 422-1978
- **Mailing address:** 5310 PEARL DR, SUITE C, EVANSVILLE, IN 47712-8105
- **Mailing address phone:** (812) 422-1135
- **Mailing address fax:** (812) 422-1978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009717 | IN | Yes |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 11/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200149940A | — | IN |