Organization
FAMILY & IMPLANT DENTISTRY OF DALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN PAUL FRIZ DDS (OWNER)
(812) 937-4818
Entity
Organization
Contact information
Practice address
110 W HAMMOND ST, DALE, IN 47523-8965
(812) 937-4818
Mailing address
PO BOX 465, DALE, IN 47523-0465
(812) 937-4818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12008787A
IN
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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