# INDIAN RIVER FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1588179071
- **Authorized official:** DR. AARON WEISBERGER DDS (CO-OWNER)
- **Authorized official phone:** (231) 238-9346

## Contact information

- **Practice address:** 2692 S STRAITS HWY, INDIAN RIVER, MI 49749-9792
- **Practice address phone:** (231) 238-9346
- **Mailing address:** 2692 S STRAITS HWY, INDIAN RIVER, MI 49749-9792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2017
- **Last updated:** 12/06/2017