Organization
RENSSELAER FAMILY DENTISTRY 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SY DDS (OWNER)
(219) 866-4533
Entity
Organization
Contact information
Practice address
210 N FRONT ST, RENSSELAER, IN 47978-2620
(219) 866-4533
Mailing address
210 N FRONT ST, RENSSELAER, IN 47978-2620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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