Organization
DENVER DENTAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD G MUSSELMAN DDS (PRESIDENT)
(765) 985-3434
Entity
Organization
Contact information
Practice address
57 N CHANDLER ST, DENVER, IN 46926-2304
(765) 985-3434
Mailing address
57 N CHANDLER ST, PO BOX 125, DENVER, IN 46926-2304
(765) 985-3434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006627A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100179210A
—
IN
Enumeration date
02/13/2014
Last updated
02/13/2014
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