Organization
DARRELL DEEM DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L. RENE BEAN (OFFICE ADMINISTRATION)
(812) 254-5011
Entity
Organization
Contact information
Practice address
100 W VAN TREES ST, WASHINGTON, IN 47501-1564
(812) 254-7550
(812) 254-5750
Mailing address
100 W VAN TREES ST, WASHINGTON, IN 47501-1564
(812) 254-7550
(812) 254-5750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008380
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089370A
—
IN
Enumeration date
03/25/2015
Last updated
03/25/2015
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