Organization
EVANSVILLE ENDODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIEGER WEBB BRASSEALE DDS (OWNER)
(812) 402-9600
Entity
Organization
Contact information
Practice address
7321 EAGLE CREST BLVD, EVANSVILLE, IN 47715-8157
(812) 402-9600
(812) 402-9605
Mailing address
7321 EAGLE CREST BLVD, EVANSVILLE, IN 47715-8157
(812) 402-9600
(812) 402-9605
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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