Organization
DUNLAP EYE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH O. DUNLAP O.D. (PRESIDENT)
(260) 665-5450
Entity
Organization
Contact information
Practice address
204 S WAYNE ST, ANGOLA, IN 46703-1937
(260) 665-5450
(260) 665-5860
Mailing address
204 S WAYNE ST, ANGOLA, IN 46703-1937
(260) 665-5450
(260) 665-5860
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
11/16/2009
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