Organization
MARC J MEADOWS DDS PC
Active
Other names
Woodscrest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE MEADOWS (BUSINESS MANAGER)
(812) 332-0866
Entity
Organization
Contact information
Practice address
515 S WOODSCREST DR, BLOOMINGTON, IN 47401-5524
(812) 332-0866
Mailing address
515 S WOODSCREST DR, BLOOMINGTON, IN 47401-5524
(812) 332-0866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010415
IN
Other
Enumeration date
10/12/2006
Last updated
07/17/2008
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