Organization
HUNTINGTON DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W SPENCER (SECRETARY)
(260) 356-9550
Entity
Organization
Contact information
Practice address
22 VINE ST, HUNTINGTON, IN 46750-1409
(260) 356-9550
Mailing address
22 VINE ST, HUNTINGTON, IN 46750-1409
(260) 356-9550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54000832A
IN
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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