Organization
RIVER FALLS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOHETE YOHANNES HENDRIX DMD;MSD (PRESIDENT/MEMBER)
(812) 945-5533
Entity
Organization
Contact information
Practice address
2676 CHARLESTOWN RD STE 1, NEW ALBANY, IN 47150-2574
(317) 224-8579
Mailing address
2676 CHARLESTOWN RD STE 1, NEW ALBANY, IN 47150-2574
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011079A
IN
Other
Enumeration date
10/17/2017
Last updated
11/26/2017
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