Organization
TOSH FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RORY TOSH DDS (OWNER/DENTIST)
(765) 482-3201
Entity
Organization
Contact information
Practice address
905 N LEBANON ST, LEBANON, IN 46052-1725
(765) 482-3201
(765) 482-3230
Mailing address
905 N LEBANON ST, LEBANON, IN 46052-1725
(765) 482-3201
(765) 482-3230
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801863592
—
IN
Enumeration date
07/16/2013
Last updated
07/16/2013
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