Individual
DR. HARLEY EDMUND HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
228 S VAN RENSSELAER ST, RENSSELAER, IN 47978-2817
(219) 866-4148
Mailing address
228 S VAN RENSSELAER ST, RENSSELAER, IN 47978-2817
(219) 866-4148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007782A
IN
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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