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Organization
MUNCIE DENTAL CARE & DENTURE CENTER
Active
Organization
MUNCIE DENTAL CARE & DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J WELCH DDS (PRESIDENT)
(765) 282-5655
Entity
Organization
Contact information
Practice address
1804 W MCGALLIARD RD, MUNCIE, IN 47304-2209
(765) 282-5655
(765) 587-0103
Mailing address
1804 W MCGALLIARD RD, MUNCIE, IN 47304-2209
(765) 282-5655
(765) 587-0103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201033180
—
IN
Enumeration date
11/01/2012
Last updated
11/01/2012
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