# VORMOHR FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1922713668
- **Authorized official:** KYEONGHWA VORMOHR DDS (DENTIST)
- **Authorized official phone:** (317) 645-8565

## Contact information

- **Practice address:** 1413 W VOTAW ST, PORTLAND, IN 47371-9501
- **Practice address phone:** (260) 726-7822
- **Mailing address:** 1413 W VOTAW ST, PORTLAND, IN 47371-9501
- **Mailing address phone:** (260) 726-7822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2023
- **Last updated:** 02/24/2023