Individual
DR. BETH PARK MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 WYNDHAM WAY, SUITE E, WEST LAFAYETTE, IN 47906
(765) 463-9505
(765) 497-1744
Mailing address
3451 WYNDHAM WAY SUITE E, WEST LAFAYETTE, IN 47906
(765) 463-9505
(765) 497-1744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010180A
IN
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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