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Individual

SAMUEL E SCHMITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10655 STATE RD 662, NEWBURGH, IN 47630
(812) 853-3313
Mailing address
10655 STATE RD 662, NEWBURGH, IN 47630
(812) 853-3313

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011009A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100344430A
IN
Enumeration date
06/16/2008
Last updated
06/16/2008
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