Individual
PARK LEWIS FIREBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
819 E FRANKLIN ST, GREENCASTLE, IN 46135-1407
(765) 653-5501
(765) 653-9274
Mailing address
819 E FRANKLIN ST, GREENCASTLE, IN 46135-1407
(765) 653-5501
(765) 653-9274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008692
IN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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