Organization
CONNER DENTISTRY LLC
Active
Other names
Family Dentistry of Wabash
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D CONNER D.D.S. (MANAGING MEMBER/PRESIDENT)
(260) 563-4805
Entity
Organization
Contact information
Practice address
1146 N CASS ST, SUITE C, WABASH, IN 46992-1081
(260) 563-4805
(260) 563-2958
Mailing address
1146 N CASS ST, SUITE C, WABASH, IN 46992-1081
(260) 563-4805
(260) 563-2958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011312
IN
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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