Organization
RONALD JAY MUNDEN, D.D.S.
Active
Other names
Munden Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JAY MUNDEN D.D.S (DENTIST/OWNER)
(812) 384-4191
Entity
Organization
Contact information
Practice address
124 E INDIANA AVE, BLOOMFIELD, IN 47424-1045
(812) 384-4191
(812) 384-4191
Mailing address
124 E INDIANA AVE, BLOOMFIELD, IN 47424-1045
(812) 384-4191
(812) 384-4191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124920
—
IN
Enumeration date
06/29/2015
Last updated
07/01/2015
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