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Organization

LELAND C. WILHOITE, D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LELAND CRAWFORD WILHOITE D.D.S. (PRESIDENT)
(765) 533-4888
Entity
Organization

Contact information

Practice address
102 W. MAIN ST., SULPHUR SPRINGS, IN 47388-0174
(765) 533-4888
(765) 533-6374
Mailing address
PO BOX 174, SULPHUR SPRINGS, IN 47388-0174
(765) 533-4888
(765) 533-6374

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009897
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200501540A
IN
Enumeration date
07/16/2008
Last updated
07/16/2008
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