Organization
DENTAL STAFFING SOLUTIONS/STEINWEDEL LLC
Active
Other names
Premier Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA DONIELLE MARTIN-DARLING RDH (OWNER/RDH)
(812) 406-8911
Entity
Organization
Contact information
Practice address
7614 SR 64 SUITE B, GEORGETOWN, IN 47122
(812) 951-1540
(812) 951-1589
Mailing address
159 W PINE DR, SANTA CLAUS, IN 47579-6109
(812) 406-8911
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285706580
WM. T STEINWEDEL DDS
IN
Enumeration date
01/19/2021
Last updated
01/19/2021
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