Organization
SMILE DOCTORS OF INDIANA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA E FENDER DMD (OWNER)
(812) 882-7867
Entity
Organization
Contact information
Practice address
1410 S QUAIL RUN RD, VINCENNES, IN 47591-6845
(812) 882-7867
Mailing address
1410 S QUAIL RUN RD, VINCENNES, IN 47591-6845
(812) 882-7867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012617A
IN
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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