Organization
THE KIDS' DENTIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMMI FROEDGE (OFFICE MANAGER)
(765) 362-5437
Entity
Organization
Contact information
Practice address
108 N OAK ST, CRAWFORDSVILLE, IN 47933-1950
(765) 362-5437
(765) 362-1652
Mailing address
108 N OAK ST, CRAWFORDSVILLE, IN 47933-1950
(765) 362-5437
(765) 362-1652
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12008572A
IN
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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