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Organization
WILHOITE FAMILY DENTAL LLC
Active
Organization
WILHOITE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELAND WILHOITE DDS (SOLE MEMBER)
(765) 808-1393
Entity
Organization
Contact information
Practice address
3410 W PURDUE AVE, MUNCIE, IN 47304-5267
(765) 747-9545
(765) 747-0727
Mailing address
3410 W PURDUE AVE, MUNCIE, IN 47304-5267
(765) 747-9545
(765) 747-0727
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063146397
DENTIST
IN
01
—
1952381840
DENTIST
IN
Enumeration date
08/02/2022
Last updated
08/02/2022
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