Organization
VDP WABASH LLC
Active
Parent organization
VDP WABASH LLC
Other names
Brush Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
VDP WABASH LLC
Authorized official
MR. BRADLEY DANIEL HUGHES DMD (DENTIST/ OWNER OF BUSINESS)
(260) 563-4065
Entity
Organization
Contact information
Practice address
278 MANCHESTER AVE., 278 MANCHESTER AVE., WABASH, IN 46992
(260) 563-4065
(260) 563-4193
Mailing address
278 MANCHESTER AVE., 278 MANCHESTER AVE., WABASH, IN 46992
(260) 563-4065
(260) 563-4193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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