Organization
HOOSIER DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY NICHOLAS COST JR. DDS (OWNER)
(812) 654-2951
Entity
Organization
Contact information
Practice address
301 NORTH WARPATH DRIVE, MILAN, IN 47031
(812) 654-2951
(812) 654-3069
Mailing address
301 NORTH WARPATH DRIVE, PO BOX 306, MILAN, IN 47031-9530
(812) 654-2951
(812) 654-3069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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