Organization
LINDA WEHNER D.M.D. LLC
Active
Other names
Clifty Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE JAY WEHNER (MANAGING MEMBER/BUSINESS MANAGER)
(812) 273-0207
Entity
Organization
Contact information
Practice address
1105 CLIFTY DRIVE, MADISON, IN 47250
(812) 273-0207
(812) 273-3366
Mailing address
1105 CLIFTY DRIVE, MADISON, IN 47250
(812) 273-0207
(812) 273-3366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009378A
IN
1223G0001X
General Practice Dentistry
12010214A
IN
1223G0001X
General Practice Dentistry
12011362A
IN
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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