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Organization
LIBERTY INDIANA ALEXANDRUNAS
Active
Organization
LIBERTY INDIANA ALEXANDRUNAS
Active
Other names
Premier Dental of Liberty
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALEXANDRUNAS DMD (OWNER)
(614) 425-9061
Entity
Organization
Contact information
Practice address
302 S FAIRGROUND ST, LIBERTY, IN 47353-1414
(614) 935-7677
Mailing address
3363 KITZMILLER RD, NEW ALBANY, OH 43054-8542
(614) 935-7677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007652B
IN
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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