Organization
DENTAL PROFESSIONALS OF IN, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF IN, P.C.
Other names
Innovative Dental Care of Muncie
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF IN, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
3701 N EVERETT RD, MUNCIE, IN 47304-5610
(765) 288-2040
Mailing address
3701 N EVERETT RD, MUNCIE, IN 47304-5610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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