Organization
LIBERTY INDIANA ALEXANDRUNAS
Active
Other names
Premier Dental of Liberty
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALEXANDRUNAS DMD (OWNER)
(614) 425-9061
Entity
Organization
Contact information
Practice address
302 S FAIRGROUND ST, LIBERTY, IN 47353-1414
(614) 935-7677
Mailing address
3363 KITZMILLER RD, NEW ALBANY, OH 43054-8542
(614) 935-7677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007652B
IN
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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