Organization
PITTSBORO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LEE RICHWINE D.D.S. (DENTIST)
(317) 892-4994
Entity
Organization
Contact information
Practice address
204 N MAPLE ST, PITTSBORO, IN 46167-9164
(317) 892-4994
(317) 892-4409
Mailing address
PO BOX 314, PITTSBORO, IN 46167-0314
(317) 892-4994
(317) 892-4409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7056
IN
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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