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Organization

LARRY D ROTHENBERGER, INC

Active
Other names
Aethetics and Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VICKI RUTLEDGE LDH (PRACTICE MANAGER/DENTAL HYGIENIST)
(765) 659-3351
Entity
Organization

Contact information

Practice address
1253 S JACKSON ST, FRANKFORT, IN 46041-3312
(765) 659-3351
(765) 659-9037
Mailing address
1253 S JACKSON ST, FRANKFORT, IN 46041-3312
(765) 659-3351
(765) 659-9037

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007174A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100082810A
IN
Enumeration date
04/29/2015
Last updated
04/29/2015
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