Organization
10439 E US HIGHWAY 36 DENTAL, LLC
Active
Other names
24 Hour Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEE MERTES (DIRECTOR OF COMPLIANCE)
(614) 288-5384
Entity
Organization
Contact information
Practice address
10439 E US HIGHWAY 36, AVON, IN 46123
(317) 300-0577
Mailing address
2857 HULL RD, KINSTON, NC 28504-8239
(252) 512-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
06/14/2018
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