Organization
CHURUBUSCO FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIONNE JUSTINE HLADIN DDS (MEMBER)
(260) 693-2177
Entity
Organization
Contact information
Practice address
230 E WHITLEY ST, CHURUBUSCO, IN 46723-1506
(260) 693-2177
(260) 693-6422
Mailing address
230 E WHITLEY ST, P.O. BOX 265, CHURUBUSCO, IN 46723-1506
(260) 693-2177
(260) 693-6422
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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