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Organization

SHEPPARD DENTAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HARRY REITH DDS (VICE-PRESIDENT)
(260) 723-5223
Entity
Organization

Contact information

Practice address
303 E COLUMBIA ST, SOUTH WHITLEY, IN 46787-1352
(260) 723-5223
Mailing address
303 E COLUMBIA ST, SOUTH WHITLEY, IN 46787-1352
(260) 723-5223

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006222
IN

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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