Organization
SENG PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA SENG (OFFICE MANAGER)
(812) 634-7409
Entity
Organization
Contact information
Practice address
2005 SAINT CHARLES ST STE 1, JASPER, IN 47546-2271
(812) 634-7409
Mailing address
2005 SAINT CHARLES ST STE 1, JASPER, IN 47546-2271
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201168300A
—
IN
Enumeration date
07/08/2015
Last updated
07/08/2015
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