Organization
MORGAN COUNTY FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE WESTRA DMD (DR.)
(314) 660-7780
Entity
Organization
Contact information
Practice address
124 N INDIANA ST, MOORESVILLE, IN 46158-1503
(317) 831-3370
Mailing address
522 E JASPER ST, PARIS, IL 61944-2437
(217) 463-4110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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