Organization
YORKTOWN DENTISTRY LLC
Active
Other names
Yorktown Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELAYNE M LEFEVRE DDS (MANAGING MEMBER PARTNER)
(765) 759-2273
Entity
Organization
Contact information
Practice address
2001 S TIGER DR, YORKTOWN, IN 47396-9385
(765) 759-2273
Mailing address
2001 S TIGER DR, YORKTOWN, IN 47396-9385
(765) 759-2273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200441630A
—
IN
Enumeration date
09/10/2013
Last updated
09/10/2013
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