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Individual

DR. DAGMARA VENTRESCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3554 PROMENADE PKWY, SUITE D, LAFAYETTE, IN 47909-8417
(765) 838-3550
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 698-2132

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012167A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201321760
IN
Enumeration date
07/15/2014
Last updated
10/11/2017
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