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Organization
DUANE A NODINE DDS INC
Active
Organization
DUANE A NODINE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE ALAN NODINE DDS (OWNER/DENTIST)
(260) 824-2442
Entity
Organization
Contact information
Practice address
706 N MAIN ST, BLUFFTON, IN 46714-1312
(260) 824-2442
(260) 824-8101
Mailing address
PO BOX 432, BLUFFTON, IN 46714-0432
(260) 824-2442
(260) 824-8101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007048A
IN
122300000X
Dentist
12011131A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257490A
—
IN
05
—
200913480
—
IN
Enumeration date
10/09/2014
Last updated
10/09/2014
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