Organization
MONTPELIER FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EVANSECK DDS (DENTIST)
(765) 728-2811
Entity
Organization
Contact information
Practice address
108 N MAIN ST, MONTPELIER, IN 47359-1132
(765) 728-2811
Mailing address
108 N MAIN ST, MONTPELIER, IN 47359-1132
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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