Organization
ROBERT C MAGUIRE, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY HUTTER (ADMIN)
(502) 423-1930
Entity
Organization
Contact information
Practice address
1366 N GARDNER ST, SCOTTSBURG, IN 47170-7793
(812) 752-3524
Mailing address
1366 N GARDNER ST, SCOTTSBURG, IN 47170-7793
(812) 752-3524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007677A
IN
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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