Organization
VDP ROCHESTER LLC
Active
Other names
Implant and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ARICKA ULERY (PRACTICE MANAGER)
(574) 223-3121
Entity
Organization
Contact information
Practice address
1329 MAIN ST, ROCHESTER, IN 46975-2107
(574) 223-3121
(574) 406-8136
Mailing address
1329 MAIN ST, ROCHESTER, IN 46975-2107
(574) 223-3121
(574) 406-8136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154715324
DENTIST
—
01
—
1922016260
DENTIST
—
Enumeration date
05/24/2023
Last updated
05/24/2023
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