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Organization

STRADLEY HAGERTY LLC

Active
Other names
Stradley Hagerty LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LESLEY E BEST (FINANCIAL COORDINATOR)
(812) 663-2503
Entity
Organization

Contact information

Practice address
112 E. TENTH ST, GREENSBURG, IN 47240-8202
(812) 663-2503
(812) 663-6665
Mailing address
112 E. TENTH ST, GREENSBURG, IN 47240-8202
(812) 663-2503
(812) 663-6665

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7386
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200859770A
IN
Enumeration date
05/14/2007
Last updated
05/29/2009
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