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Organization
DENTISTRY FOR CHILDREN OF INDIANA, LLC
Active
Organization
DENTISTRY FOR CHILDREN OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMONIA LEONARD (CREDENTIALING SPECIALIST)
(678) 244-4844
Entity
Organization
Contact information
Practice address
2220 W MCGALLIARD RD, MUNCIE, IN 47304-2188
(765) 288-8812
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(678) 244-4844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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