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Organization
DENTAL HEALTH ASSOCIATES OF INDIANA
Active
Organization
DENTAL HEALTH ASSOCIATES OF INDIANA
Active
Other names
American Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
TIM HOAGLAND (CEO)
(502) 423-9111
Entity
Organization
Contact information
Practice address
12802 TOWNEPARK WAY, SUITE 100, LOUISVILLE, KY 40243-2308
(502) 423-9111
(502) 423-9330
Mailing address
12802 TOWNEPARK WAY, SUITE 100, LOUISVILLE, KY 40243-2308
(502) 423-9111
(502) 423-9330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
12/01/2010
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