Organization
COMFORT DENTAL OF ANDERSON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S. STRATMAN DDS (OWNER)
(765) 642-9811
Entity
Organization
Contact information
Practice address
820 E 53RD ST, ANDERSON, IN 46013-1731
(765) 642-9811
Mailing address
820 E 53RD ST, ANDERSON, IN 46013-1731
(765) 642-9811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010195
IN
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200248810A
—
IN
Enumeration date
09/27/2011
Last updated
09/27/2011
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