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Organization

RONALD L. DENTON, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD LEE DENTON D.D.S (DENTIST/OWNER)
(260) 463-2111
Entity
Organization

Contact information

Practice address
612 S DETROIT ST, LAGRANGE, IN 46761
(260) 463-2111
(260) 463-7496
Mailing address
612 S DETROIT ST, LAGRANGE, IN 46761-2314
(260) 463-2111
(260) 463-7496

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7103
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100159700
IN
Enumeration date
02/03/2017
Last updated
02/03/2017
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