Organization
MANCHESTER FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GWEN M METZGER (OFFICE MANAGER)
(260) 982-6042
Entity
Organization
Contact information
Practice address
1301 STATE ROAD 13 W, NORTH MANCHESTER, IN 46962-9100
(260) 982-6042
(260) 982-6042
Mailing address
1301 STATE ROAD 13 W, NORTH MANCHESTER, IN 46962-9100
(260) 982-6042
(260) 982-6042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010752A
IN
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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