Organization
MIDWEST ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT R GRAFE D.D.S. (PRESIDENT)
(812) 476-8000
Entity
Organization
Contact information
Practice address
2709 WASHINGTON AVE, SUITE 1, EVANSVILLE, IN 47714-2411
(812) 476-8000
(812) 471-3901
Mailing address
2709 WASHINGTON AVE, SUITE 1, EVANSVILLE, IN 47714-2411
(812) 476-8000
(812) 471-3901
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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