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Individual

THOMAS HENRY KAPCZYNSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5915 W STATE ROAD 46, BLOOMINGTON, IN 47404-9359
(812) 876-7330
Mailing address
PO BOX 10, ELLETTSVILLE, IN 47429-0010
(812) 876-7350
(812) 876-7350

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007619
IN

Other

Enumeration date
11/12/2006
Last updated
02/23/2012
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