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Organization

JASON M. KUESTER DDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRYN E DANT (DENTAL ASSISTANT/OFFICE ASSISTANT)
(812) 867-6428
Entity
Organization

Contact information

Practice address
1331 W BOONVILLE NEW HARMONY RD, EVANSVILLE, IN 47725-9583
(812) 867-6428
(812) 867-7494
Mailing address
1331 W BOONVILLE NEW HARMONY RD, EVANSVILLE, IN 47725-9583
(812) 867-6428
(812) 867-7494

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011322-A
IN

Other

Enumeration date
01/02/2014
Last updated
01/02/2014
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