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Organization
GREENCASTLE 20/20 DENTAL, LLC
Active
Organization
GREENCASTLE 20/20 DENTAL, LLC
Active
Parent organization
20/20 DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
20/20 DENTAL, LLC
Authorized official
DR. RONALD I PROKES DDS (OWNER)
(317) 727-1534
Entity
Organization
Contact information
Practice address
819 E FRANKLIN ST, GREENCASTLE, IN 46135-1691
(765) 653-5501
Mailing address
819 E FRANKLIN ST, GREENCASTLE, IN 46135-1691
(765) 653-5501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011722A
IN
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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