Individual
TREVOR LINCOLN FURNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
108 S TOWNLINE RD, LAGRANGE, IN 46761-1740
(126) 046-3365
Mailing address
108 S TOWNLINE RD, LAGRANGE, IN 46761-1740
(126) 046-3365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013367A
IN
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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