# ANGELA DEHAVEN BROWNSBURG DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912431701
- **Authorized official:** MR. JEFFREY V HUTTER (MANAGER)
- **Authorized official phone:** (502) 797-9111

## Contact information

- **Practice address:** 945 N GREEN ST, BROWNSBURG, IN 46112-1032
- **Practice address phone:** (317) 564-4928
- **Practice address fax:** (317) 564-4928
- **Mailing address:** 13295 ILLINOIS ST, STE 138, CARMEL, IN 46032-3019
- **Mailing address phone:** (317) 564-4928
- **Mailing address fax:** (317) 564-4928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | IN | Yes |

## Other

- **Enumeration date:** 04/18/2017
- **Last updated:** 04/18/2017